Healthcare Provider Details

I. General information

NPI: 1720518046
Provider Name (Legal Business Name): TAYLOR NICOLE ENGLAND-WELLS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HIGHWAY 92 S STE 7
DANDRIDGE TN
37725-4578
US

IV. Provider business mailing address

334 HIGHWAY 92 S STE 7
DANDRIDGE TN
37725-4578
US

V. Phone/Fax

Practice location:
  • Phone: 865-397-9991
  • Fax: 865-940-1401
Mailing address:
  • Phone: 865-397-9991
  • Fax: 865-940-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3390
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: