Healthcare Provider Details

I. General information

NPI: 1417861048
Provider Name (Legal Business Name): JOHN R WELLS NRP-CC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W MEETING ST
DANDRIDGE TN
37725-8009
US

IV. Provider business mailing address

127 W MEETING ST
DANDRIDGE TN
37725-8009
US

V. Phone/Fax

Practice location:
  • Phone: 865-397-6680
  • Fax: 865-397-6681
Mailing address:
  • Phone: 865-397-6680
  • Fax: 865-397-6681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146E00000X
TaxonomyCommunity Paramedic
License Number23770
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: