Healthcare Provider Details
I. General information
NPI: 1205744133
Provider Name (Legal Business Name): TOTAL CARE MEDICAL & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1705 MAIN AVE SW STE B
CULLMAN AL
35055-7207
US
IV. Provider business mailing address
1705 MAIN AVE SW STE B
CULLMAN AL
35055-7207
US
V. Phone/Fax
- Phone: 256-509-7136
- Fax:
- Phone: 256-509-7136
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
S.
TURNER
Title or Position: OWNER
Credential: CRNP
Phone: 256-509-7136