| NPI | 1962802009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BELCHER Owner/Fnp 865-397-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16734) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-08-24 |