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Individual

MICHAELA CHEYENNE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
12057 HIGHWAY 49 STE C, GULFPORT, MS 39503-3177
(228) 832-9385
(877) 504-6444
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
903965
MS
363L00000X
Nurse Practitioner
WELL-FJ0DT3
MS
363LF0000X
Family Nurse Practitioner
223744
LA
363LF0000X
Family Nurse Practitioner
Primary
903965
MS

Other

Enumeration date
06/12/2020
Last updated
04/08/2026
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