MEDICARE: TELEMEDICINE 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

General Provider Information

NPI Number	:	1710833256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELEMEDICINE WELLNESS LLC

Provider Business Mailing Address
First Line	:	6210 N JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4001
Country	:	US
Telephone Number	:	702-272-9427
Fax Number	:	833-323-1696

Provider Business Practice Location Address
First Line	:	5907 FLOWERING HILL CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3087
Country	:	US
Telephone Number	:	702-272-9427
Fax Number	:	833-323-1696

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	MRS. CHRISTELLE TCHOUANANG
Credential	:	FNP
Telephone Number	:	702-272-9427

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/18/2026

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