MEDICARE: YOUR JOURNEY WELLNESS, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1396603387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR JOURNEY WELLNESS, LLC

Provider Business Mailing Address
First Line	:	507 RIDGECREST LN
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-1363
Country	:	US
Telephone Number	:	615-512-3732
Fax Number	:	864-771-8221

Provider Business Practice Location Address
First Line	:	507 RIDGECREST LN
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-1363
Country	:	US
Telephone Number	:	615-512-3732
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/CO-OWNER
Name	:	HEATHER CAMPBELL
Credential	:	PMHNP-BC, FNP-C
Telephone Number	:	615-512-3732

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	05/18/2026

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