# HEALTH AND WELLNESS, ENDOCRINOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164965778
- **Authorized official:** TABITHA L MONDRAGE (SECRETARY/TREASURER)
- **Authorized official phone:** (615) 481-0283

## Contact information

- **Practice address:** 1097 WESTON DR, SUITE B, MT JULIET, TN 37122-3493
- **Practice address phone:** (615) 553-5002
- **Mailing address:** 329 21ST AVE N, SUITE 1, NASHVILLE, TN 37203-1839
- **Mailing address phone:** (615) 553-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2016
- **Last updated:** 11/30/2016