MEDICARE: MRS. DONNA LEIGH WELCH FNP-C

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	363L00000X	Nurse Practitioner	23122	TN

General Provider Information

NPI Number	:	1881123388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA LEIGH WELCH FNP-C

Provider Business Mailing Address
First Line	:	2815 W ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-581-3939
Fax Number	:	423-839-2206

Provider Business Practice Location Address
First Line	:	2815 W AJ HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-581-3939
Fax Number	:	423-839-0550

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	05/07/2026

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