| NPI | 1861708653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2019-07-23 |