| Tennessee Style Weight Loss Llc | |
|
355 New Shackle Island Rd Ste 128b, Hendersonville, TN 37075-2479 | |
| (309) 229-4338 | |
| Not Available |
| Full Name | Tennessee Style Weight Loss Llc |
|---|---|
| Type | Facility |
| Speciality | Surgery |
| Location | 355 New Shackle Island Rd Ste 128b, Hendersonville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427739903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Hannah Betke Lawrence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790210508 PECOS PAC ID: 4688940497 Enrollment ID: I20200410002320 |
| Provider Name | Morgan Prozan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902518921 PECOS PAC ID: 2062885148 Enrollment ID: I20230310002293 |
| Provider Name | Jameil Abou-hanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881129302 PECOS PAC ID: 0446524946 Enrollment ID: I20231208000299 |
| Provider Name | Kristine Nadler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528608866 PECOS PAC ID: 0648607200 Enrollment ID: I20241231003049 |
| Provider Name | Jenna Bishop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518328665 PECOS PAC ID: 5294263596 Enrollment ID: I20250115000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Style Weight Loss Llc 355 New Shackle Island Rd Ste 128b, Hendersonville, TN 37075-2479 Ph: (309) 229-4338 | Tennessee Style Weight Loss Llc 355 New Shackle Island Rd Ste 128b, Hendersonville, TN 37075-2479 Ph: (309) 229-4338 |