| NPI | 1952789943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA WILLIS LASHLEY Owner/Nurse Practitioner 423-939-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN18102) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-06-11 |