Provider Demographics
NPI:1801347679
Name:WELLS, SANDRA (FNP-BC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:DAWN
Other - Last Name:HOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:933-908-0998
Practice Address - Street 1:555 JUSTIS DR
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4288
Practice Address - Country:US
Practice Address - Phone:423-783-7965
Practice Address - Fax:833-908-2073
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21948363L00000X, 363L00000X
TNAPN21948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner