MEDICARE: TRINITY ELITE WELLNESS

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1881284891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY ELITE WELLNESS

Provider Business Mailing Address
First Line	:	PO BOX 750103
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38175-0103
Country	:	US
Telephone Number	:	901-676-6218
Fax Number	:	901-425-9639

Provider Business Practice Location Address
First Line	:	2838 HICKORY HILL RD STE 29
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38115-2161
Country	:	US
Telephone Number	:	901-676-6218
Fax Number	:	901-425-9639

Authorized Official
Title or Position	:	FNP
Name	:	DAWNA J. WILLIS
Credential	:
Telephone Number	:	901-676-6218

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	09/18/2025

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Directions to “TRINITY ELITE WELLNESS ” Practice Location

Language	Start Address	Practice Location

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