| NPI | 1871485540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director, Credentialing/Enrollment 615-948-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |