MEDICARE: NATALIE WELLS FNP-

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	19738	TN

General Provider Information

NPI Number	:	1770975955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE WELLS FNP-

Provider Business Mailing Address
First Line	:	PO BOX 932958
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0028
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6702 CLINTON HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-1018
Country	:	US
Telephone Number	:	865-293-4269
Fax Number	:

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

Provider Enumeration Date	:	02/25/2015
Last Update Date	:	05/14/2025

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