Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authentic Medical Aesthetics & Wellness LLC

Organization Nurse Practitioner · NPI 1477479871

Authentic Medical Aesthetics & Wellness LLC is a Nurse Practitioner in Maryville, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

204 Simmons St
Maryville, TN 37801-4750
Phone: (865) 980-8029
Fax: (865) 980-8074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1477479871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Broyles — Owner · (865) 310-9826
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address204 Simmons St, Maryville, TN 37801-4750

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