Healthcare Provider Details

I. General information

NPI: 1437041068
Provider Name (Legal Business Name): WELL RESTED SLEEP SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8066 WALNUT RUN RD STE 100
CORDOVA TN
38018-8842
US

IV. Provider business mailing address

8066 WALNUT RUN RD STE 100
CORDOVA TN
38018-8842
US

V. Phone/Fax

Practice location:
  • Phone: 901-881-2260
  • Fax: 901-881-0680
Mailing address:
  • Phone: 901-881-2260
  • Fax: 901-881-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. CHIP HARRIS
Title or Position: CHIEF MANAGER
Credential: MR.
Phone: 901-881-2260