| NPI | 1841614005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WRIGHT Office Manager 731-885-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18135) |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-07-15 |