| NPI | 1811424484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SIMMONS Nurse Practitioner 615-477-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 12987) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TN 12987) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |