Organization
EXECUTIVE LEVEL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRIAN HUGHES GNP-BC (OWNER)
(731) 571-8808
Entity
Organization
Contact information
Practice address
111 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 420-3334
(888) 318-1702
Mailing address
1167 JR JONES RD, HUMBOLDT, TN 38343-8080
(731) 571-8808
(888) 318-1702
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APN013215
TN
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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