| Organization Name: | WHITE HOUSE FAMILY PRACTICE LLC |
| NPI Number: | 1225233463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL L MEDLEY (OWNER NURSE PRACTITIONER) |
| Mailing Address: | 2823 Highway 31 W Suite 200 White House |
| State: | TN US |
| Postal Code: | 371885241 |
| Phone Number: | 6156720604 |
| Fax Number: | 6156720646 |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN6776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |