MEDICARE: M PLUS H HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1558179457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M PLUS H HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	5344 N BROADWAY ST STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-3266
Country	:	US
Telephone Number	:	865-505-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	5344 N BROADWAY ST STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-3266
Country	:	US
Telephone Number	:	865-505-0880
Fax Number	:	865-282-4314

Authorized Official
Title or Position	:	BILLING MANAGEMENT
Name	:	JAMIE PADGETT
Credential	:
Telephone Number	:	865-404-3469

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/30/2024

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