Organization
LIVEWELL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMA MERCEDES SHUPP FNP-C (OWNER)
(615) 431-8431
Entity
Organization
Contact information
Practice address
1630 NW BROAD ST STE 100, MURFREESBORO, TN 37129-4435
(615) 431-8431
(615) 431-8531
Mailing address
1630 NW BROAD ST STE 100, MURFREESBORO, TN 37129-4435
(615) 431-8431
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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