OrganizationActive
865 Wellness Ketamine LLC
NPI 1912696808 · Certified Registered Nurse Anesthetist · Knoxville, TN
Provider details
- NPI number
- 1912696808
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Watson, Owner(865) 223-2468
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
601 S Concord St Ste 100
Knoxville, TN 37919-3339
Phone: (865) 805-3118
Fax: (865) 415-2841
Approximate (ZIP-level) locationGet directions
Mailing address
601 S Concord St Ste 100
Knoxville, TN 37919-3339
Registry dates
- Enumerated
- 2023-05-05
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.