| NPI | 1871958512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M BISHOP Owner 901-751-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7570) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2023-06-28 |