| NPI | 1982741310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY R WHITBY President 731-855-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 60730) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-02-01 |