Wellmind, Llc | |
8304 Walnut Grove Rd Cordova TN 38018-6869 | |
(901) 501-7700 | |
Not Available |
Full Name | Wellmind, Llc |
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Speciality | Counselor |
Location | 8304 Walnut Grove Rd, Cordova, Tennessee |
Authorized Official Name and Position | John Redmond (LEAD NURSE PRACTITIONER) |
Authorized Official Contact | 9018700258 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellmind, Llc 8304 Walnut Grove Rd Cordova TN 38018-6869 Ph: (901) 501-7700 | Wellmind, Llc 8304 Walnut Grove Rd Cordova TN 38018-6869 Ph: (901) 501-7700 |
NPI Number | 1760105431 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Certification Date | 09/19/2022 |
Medicare PECOS PAC ID | 6406229285 |
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Medicare Enrollment ID | O20230224002269 |
Identifier | Type | State | Issuer |
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1760105431 | NPI | - | NPPES |
Provider Name | John C Bomar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922029586 PECOS PAC ID: 4880651603 Enrollment ID: I20041214000305 |
Provider Name | John Pearson Redmond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417554361 PECOS PAC ID: 9234543521 Enrollment ID: I20210127003422 |
Provider Name | Sheila Ruth Cater Murphy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548861909 PECOS PAC ID: 1052713732 Enrollment ID: I20210719000595 |
Provider Name | Collietta C Bassett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063976983 PECOS PAC ID: 7315277084 Enrollment ID: I20210823001699 |
Provider Name | Tommerria Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639715253 PECOS PAC ID: 4082035589 Enrollment ID: I20220914001922 |
Provider Name | Chelsey Dixon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346821097 PECOS PAC ID: 9638542111 Enrollment ID: I20230303000151 |
Provider Name | Lekisha Pride |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154106508 PECOS PAC ID: 4486005295 Enrollment ID: I20240304003372 |
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