Organization · Type 2 NPI

Living Healthy Wellness Center

Clinic/Center · Madison, TN

NPI number 1861963050 Active

Practice location

414 W Old Hickory Blvd
Madison, TN 37115-3653

Call (615) 456-2016 Map

Fax (615) 454-2507

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

NPI record

NPI: 1861963050
Entity type: Organization (Type 2)
Issued: Dec 16, 2018
Last updated: Apr 12, 2023
Status: Active

Other names

<unavail>
Joy Grimes Acnp-Bc · doing business as
Joy Grimes Acnp-Bc · doing business as

Authorized official

Mrs. Joy Renee Grimes, ACNP-BC
Nurse Practitioner
(615) 454-2016

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861963050

Living Healthy Wellness Center's National Provider Identifier is 1861963050, issued on Dec 16, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Madison, TN. The record was last updated on Apr 12, 2023.