| NPI | 1841339777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE BLAKNEY Partner 731-239-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006154) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005664) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |