MEDICARE: WHOLE HEALTH CHIROPRACTIC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1417805243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEALTH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	5121 MARYLAND WAY STE 301
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7516
Country	:	US
Telephone Number	:	615-568-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 MARYLAND WAY STE 301
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7516
Country	:	US
Telephone Number	:	615-568-5003
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER DEVENS
Credential	:	DC
Telephone Number	:	309-427-9993

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Practice Location Address:

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Directions to “WHOLE HEALTH CHIROPRACTIC ” Practice Location

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