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Jellico Wellness and Convenient Care Clinic, LLC

Psychiatric/Mental Health Nurse Practitioner in Jellico, TN · enumerated 2018 · authorized official Nicole Asante, Fnp/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952805319

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Registry record

Entity type Organization (Type 2)
Legal business name Jellico Wellness and Convenient Care Clinic, LLC
Other name <Unavail>
Practice address 1811 5th St, Jellico, TN, 37762
Phone (615) 335-3430
Enumeration date Mar 21, 2018
Last updated in NPPES Sep 5, 2024

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 14174 (TN) Secondary

Authorized official

Name Nicole Asante
Title Fnp/President
Phone (615) 335-3430

Other identifiers

Identifier Type State Issuer
1527342 Medicaid TN -
1031508098 Other TN MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jellico Wellness and Convenient Care Clinic, LLC?
Jellico Wellness and Convenient Care Clinic, LLC is registered in NPPES as a Psychiatric/Mental Health Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-05.