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General NPI Number Information
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NPI Number | 1386269629
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Entity Type | Individual
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Provider Name | MICHAELA CHEYENNE WELLS NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 12057 HIGHWAY 49 STE C
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City | GULFPORT
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State | MS
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Zip | 39503-3177
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Country | US
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Telephone | 228-832-9385
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Fax | 877-504-6444
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 844-630-0700
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Fax | 877-374-1924
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | WELL-FJ0DT3
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 223744
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 903965
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License Number State | MS
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