TCB Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21896 Issued in TN

Legal business name

TCB HEALTH & WELLNESS

Practice address

2877 Central Ave # a
Memphis, TN 38111-2405

Phone

(225) 819-6939

NPI assigned

Jul 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Stuart Brown

Title

Manager

Phone

(225) 819-6939

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1740766963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 CENTRAL AVE # A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112405",
            "telephone_number": "225-819-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 CENTRAL AVE # A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112405",
            "telephone_number": "225-819-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCB HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-819-6939"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025257",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.