| NPI | 1912496738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVREY AMEY Nurse Practitioner/Manager 931-548-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TN APN0000021448) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-03-05 |