| NPI | 1750891677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SUE WOOD Owner 931-325-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 6172) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TN 74273) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |