Community Wellness Clinic Inc.
Organization Active NPI Family Nurse Practitioner · Woodbury, TN
NPI 1770844110 · NPPES record last updated Jun 1, 2012
Key facts
- NPI
- 1770844110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 15595 (TN)
- Legal business name
- COMMUNITY WELLNESS CLINIC INC.
- Practice address
- 322 S McCrary St
Woodbury, TN 37190-1441 - Phone
- (615) 563-7515
- Fax
- (615) 563-7393
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tabitha Smith, FNP-C
- Title
- President/Provider
- Phone
- (615) 563-7515
Practitioners 2
-
Joei Leigh Harris, FNP
National Provider Directory
Locations
89 Mears Dr
Woodbury, TN 37190
Phone (615) 563-7515
322 S McCrary St
Woodbury, TN 37190
Phone (615) 563-7515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 15595 | TN | Yes |
Addresses
Primary practice location
322 S McCrary St
Woodbury, TN 37190-1441
Mailing address
322 S McCrary St
Woodbury, TN 37190-1441
Phone (615) 563-7515
Other providers in Woodbury, TN
- Cannon County Hospital LLC
- Cannon County Hospital LLC
- Cannon County Hospital LLC
- Cannon County Hospital LLC
- Cannon County Hospital, LLC
- Bernard John Coomes
- Melicia Dian Coons
- Holiday Dean Crawford
- Melisa Johnson Curtis
- Darryl T Deason
All providers in Woodbury, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.