# FAITH FAMILY WELLNESS CLINIC, PLLC

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

## Provider details

- **NPI number:** 1184107302
- **Authorized official:** KRISTIN MCBAY (OWNER)
- **Authorized official phone:** (931) 492-5290

## Contact information

- **Practice address:** 2012 N MAIN ST, SHELBYVILLE, TN 37160-2022
- **Practice address phone:** (931) 492-5290
- **Practice address fax:** (931) 492-5292
- **Mailing address:** 2012 N MAIN ST, SHELBYVILLE, TN 37160-2022
- **Mailing address phone:** (931) 492-5290
- **Mailing address fax:** (931) 492-5292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 07/26/2022