Individual
KEISHA DAWN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 CAMP RIDGE RD, LA FOLLETTE, TN 37766-7155
(865) 805-8113
Mailing address
509 CAMP RIDGE RD, LA FOLLETTE, TN 37766-7155
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
282615
TN
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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