institution
Jellico Wellness And Convenient Care Clinic, Llc
Primary Care Nurse Practitioner in Jellico, Tennessee
NPI 1952805319

Jellico Wellness And Convenient Care Clinic, Llc is a Primary Care Nurse Practitioner based in Jellico, TN and is specialized in Primary Care. Jellico Wellness And Convenient Care Clinic, Llc practices in Jellico, TN. The NPI Number for Jellico Wellness And Convenient Care Clinic, Llc is 1952805319 and holds a License No. (Tennessee).

The current practice location address for Jellico Wellness And Convenient Care Clinic, Llc is 1811 5Th St, Jellico, TN and can be reached out via phone at 615-335-3430. You can also correspond with Jellico Wellness And Convenient Care Clinic, Llc through the mailing address at 1811 5TH ST # A, JELLICO, TN - 37762-4629 (mailing address contact number: 423-455-3032).

Location: 1811 5Th St, Jellico, TN, 37762-4629
institution
Provider Profile Details
NPI Number
1952805319
Provider Name
Jellico Wellness And Convenient Care Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1811 5Th St, Jellico, TN, 37762-4629
Phone Number
615-335-3430
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1031508098 01 TN MEDICARE
1527342 05 TN
institution
Provider Business Practice Location Address Details
Address
1811 5Th St
City
State
Zip
37762-4629
Phone Number
615-335-3430
Fax Number
person
Provider Business Mailing Address Details
Address
1811 5Th St
City
State
Zip
37762-4629
Phone Number
615-335-3430
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
14174 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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