| NPI | 1942286521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST EUGENE PICKETT Sole Owner 865-591-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN RN0000077192) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14934) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-07-18 |