Individual
KASI REBECCA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1421 PORTER RD STE 4, NASHVILLE, TN 37206-1669
(205) 335-7311
Mailing address
25749 FIELDSTONE DR, MADISON, AL 35756-5212
(205) 335-7311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27940
TN
Other
Enumeration date
10/21/2020
Last updated
05/02/2022
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