Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JELLICO WELLNESS AND CONVENIENT CARE CLINIC, LLC
Active OrganizationJELLICO WELLNESS AND CONVENIENT CARE CLINIC, LLC is a Psychiatric/Mental Health Nurse Practitioner organization located in JELLICO, Tennessee. NPI 1952805319 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · JELLICO, TN
Registration Details
- NPI Number
- 1952805319
- Provider Type
- Organization
- NPI Issued
- Mar 21, 2018 (8.3856606081802 yrs)
- Last Updated
- Sep 5, 2024
- License
-
14174 (TN)
Practice Information
- Address
-
1811 5TH STJELLICO, TN, 377624629Browse TN providers · Browse ZIP 37762
- Phone
- 6153353430
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.