| NPI | 1972903375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE WOMBLE Nurse Practioner/Owner 931-685-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 10762) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |