MEDICARE: SERENITY HEALTH & WELLNESS, 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	363LF0000X	Family Nurse Practitioner	1383	AK

General Provider Information

NPI Number	:	1639536394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY HEALTH & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	120 CARLANNA LAKE RD
Second Line	:	SUITE 102
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-5611
Country	:	US
Telephone Number	:	907-247-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 CARLANNA LAKE RD
Second Line	:	SUITE 102
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-5611
Country	:	US
Telephone Number	:	907-247-9355
Fax Number	:

Authorized Official
Title or Position	:	OWNER/FNP
Name	:	TAMMY LORRAINE EARNEST
Credential	:	FNP-C
Telephone Number	:	907-617-5453

Provider Enumeration Date	:	01/25/2016
Last Update Date	:	01/25/2016

Similar Medicare Providers

1497686679 — GUARDIAN FLIGHT LLC
Practice Location Address:

120 CARLANNA LAKE RD
KETCHIKAN, AK
99901-5611

Practice Phone: 877-288-5340
Practice Fax:

1932108347 — MRS. JANAI MARIE MEYER R.D., IBCLC
Practice Location Address:

130 CARLANNA LAKE RD LOWR
KETCHIKAN, AK
99901-5611

Practice Phone: 907-220-9920
Practice Fax: 907-220-9925

1083848998 — JAMES C. ROCKWELL MD LLC
Practice Location Address:

130 CARLANNA LAKE RD
KETCHIKAN, AK
99901-5611

Practice Phone: 907-247-1515
Practice Fax:

1265874655 — TAMMY LORRAINE EARNEST FNP-C
Practice Location Address:

120 CARLANNA LAKE RD , STE 102
KETCHIKAN, AK
99901-5611

Practice Phone: 907-247-9355
Practice Fax: 907-225-9376

1538685300 — GUARDIAN FLIGHT LLC
Practice Location Address:

120 CARLANNA LAKE RD STE 104
KETCHIKAN, AK
99901-5611

Practice Phone: 801-619-4900
Practice Fax: 801-983-6052

1538091129 — SUMMIT HEALTH NORTH LLC
Practice Location Address:

7981 S TONGASS HWY
KETCHIKAN, AK
99901-9756

Practice Phone: 812-201-2721
Practice Fax:

Directions to “SERENITY HEALTH & WELLNESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.