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NPI Code Detail

MEDICARE: PEARL WELLNESS AND CONSULTING, LLC

MEDICARE: PEARL WELLNESS AND CONSULTING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1124951132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARL WELLNESS AND CONSULTING, LLC
Provider Business Mailing Address
First Line : 1521 DANVILLE CIR
Second Line :
City : THOMPSONS STATION
State : TN
Zip : 37179-5075
Country : US
Telephone Number : 615-887-8835
Fax Number :
Provider Business Practice Location Address
First Line : 2504 CAYER LN
Second Line : SUITE D
City : COLUMBIA
State : TN
Zip : 38401
Country : US
Telephone Number : 615-236-6408
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : ANITRA ELLERBY-BROWN
Credential :
Telephone Number : 615-887-8835
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “PEARL WELLNESS AND CONSULTING, LLC ” Practice Location

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