MEDICARE: JENNY ELIZABETH WELCH FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	21842	TN

General Provider Information

NPI Number	:	1255880134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY ELIZABETH WELCH FNP-BC

Provider Business Mailing Address
First Line	:	1923 SULPHUR SPRINGS RD
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37813-5654
Country	:	US
Telephone Number	:	423-317-9344
Fax Number	:	423-714-2355

Provider Business Practice Location Address
First Line	:	165 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-934-6150
Fax Number	:	865-342-0150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2016
Last Update Date	:	01/06/2026

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