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

Jellico Wellness and Convenient Care Clinic, LLC

Organization Family Nurse Practitioner · NPI 1952805319

Jellico Wellness and Convenient Care Clinic, LLC is a Family Nurse Practitioner 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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