| Faith Family Wellness Clinic, Pllc | |
|
2012 N Main St Shelbyville TN 37160-2022 | |
| (931) 492-5290 | |
| (931) 492-5292 |
| Full Name | Faith Family Wellness Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2012 N Main St, Shelbyville, Tennessee |
| Authorized Official Name and Position | Kristin Mcbay (OWNER) |
| Authorized Official Contact | 9314925290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Family Wellness Clinic, Pllc 2012 N Main St Shelbyville TN 37160-2022 Ph: (931) 492-5290 | Faith Family Wellness Clinic, Pllc 2012 N Main St Shelbyville TN 37160-2022 Ph: (931) 492-5290 |
| NPI Number | 1184107302 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 8426396540 |
|---|---|
| Medicare Enrollment ID | O20190215001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184107302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Kristin E Mcbay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148959 PECOS PAC ID: 4587899497 Enrollment ID: I20160104000679 |
| Provider Name | Staci Lynne Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023653037 PECOS PAC ID: 2860827912 Enrollment ID: I20200117000357 |
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