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

Executive Level Wellness

Organization Skilled Nursing Facility · NPI 1265829626

Executive Level Wellness is a Skilled Nursing Facility in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015

Practice location Address checks out

111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone: (731) 420-3334
Fax: (888) 318-1702
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence APN013215 (TN)

Record details

NPI number1265829626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hughes — Owner · (731) 571-8808
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address1167 Jr Jones Rd, Humboldt, TN 38343-8080

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