| Tennessee Health And Wellness | |
|
315 N Washington Ave Ste 102 Cookeville TN 38501-2623 | |
| (931) 651-1918 | |
| (931) 651-1912 |
| Full Name | Tennessee Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 N Washington Ave Ste 102, Cookeville, Tennessee |
| Authorized Official Name and Position | Scotty L Kirby (OWNER/MEMBER) |
| Authorized Official Contact | 9318362532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Health And Wellness 315 N Washington Ave Ste 102 Cookeville TN 38501-2623 Ph: (931) 651-1918 | Tennessee Health And Wellness 315 N Washington Ave Ste 102 Cookeville TN 38501-2623 Ph: (931) 651-1918 |
| NPI Number | 1063014363 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 8224441639 |
|---|---|
| Medicare Enrollment ID | O20210104000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063014363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tiffany Paige Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376178343 PECOS PAC ID: 1456775576 Enrollment ID: I20200722002887 |
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