| NPI | 1730467978 |
|---|---|
| Doing Business As | CHILDREN'S WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEANEAN S. FOSTER Director, Licensing & Credentialing 615-750-0342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: N/A) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |