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Organization
EXECUTIVE LEVEL WELLNESS
Active
Organization
EXECUTIVE LEVEL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HUGHES NP (OWNER)
(731) 571-8808
Entity
Organization
Contact information
Practice address
1167 JR JONES RD, HUMBOLDT, TN 38343-8080
(731) 431-2818
(888) 318-1702
Mailing address
1167 JR JONES RD, HUMBOLDT, TN 38343
(731) 431-2818
(888) 318-1702
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APN013215
TN
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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