Organization · Type 2 NPI
Jellico Wellness and Convenient Care Clinic, LLC
Psychiatric/Mental Health Nurse Practitioner · Jellico, TN
NPI number
1952805319
Active
Practice location
1811 5th St
Jellico, TN 37762-4629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | 14174 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1952805319
Jellico Wellness and Convenient Care Clinic, LLC's National Provider Identifier is 1952805319, issued on Mar 21, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jellico, TN. The record was last updated on Sep 5, 2024.