| NPI | 1902269699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA D WILLIAMS Family Nurse Practitioner 901-401-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14659) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-09-20 |