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NPI Code Detail

MEDICARE: BRB WELLNESS LLC

MEDICARE: BRB 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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1922930866
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRB WELLNESS LLC
Provider Business Mailing Address
First Line : 4546 CHAPMAN HWY # 3061
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-4359
Country : US
Telephone Number : 865-350-7453
Fax Number : 865-413-3836
Provider Business Practice Location Address
First Line : 116 AGNES RD STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919
Country : US
Telephone Number : 865-350-7453
Fax Number : 865-413-3836
Authorized Official
Title or Position : OWNER
Name : BETTINA RENEE BELLAMY
Credential : PMHNP
Telephone Number : 865-350-7453
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “BRB WELLNESS LLC ” Practice Location

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