Organization Name: | WEIGHT LOSS SOLUTIONS AND MORE PLLC |
NPI Number: | 1215236039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER A PETTY (PRESIDENT) |
Mailing Address: | 878 N Mount Juliet Rd Mount Juliet |
State: | TN US |
Postal Code: | 371223391 |
Phone Number: | 6157735999 |
Fax Number: | 6157735999 |
NPI Enumeration Date: | 03/18/2011 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 11466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |