Healthcare Provider Details

I. General information

NPI: 1154116093
Provider Name (Legal Business Name): OAK RIDGE ENERGY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/11/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S GAY ST STE 700
KNOXVILLE TN
37929-9703
US

IV. Provider business mailing address

800 S GAY ST STE 700
KNOXVILLE TN
37929-9703
US

V. Phone/Fax

Practice location:
  • Phone: 865-216-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ROBIN HUBBERT
Title or Position: CEO
Credential:
Phone: 727-688-0809