Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN0000019086 | TN |
NPI | 1003202292 |
---|---|
Provider Name | Mrs. Gretchen N Morris White |
First Address | Gallatin, TN 37066-3032 |
Second Address | Gallatin, TN 37066-3032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 25/06/2019 |