Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jellico Wellness and Convenient Care Clinic, LLC

Organization Family Nurse Practitioner · NPI 1952805319

Jellico Wellness and Convenient Care Clinic, LLC provides Family Nurse Practitioner services in Jellico, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1811 5th St
Jellico, TN 37762-4629
Phone: (615) 335-3430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 14174 (TN)

Record details

NPI number1952805319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Asante — Fnp/President · (615) 335-3430
Other names Jellico Wellness Behavioral Health
NPI enumeratedMarch 21, 2018
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address1811 5th St, Jellico, TN 37762-4629

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