Organization · NPI-2
3cw Tn PLLC
Integrative Medicine · Mount Juliet, TN
NPI number1023986312
StatusActive
Last updated in NPPESJan 20, 2026
Details
- NPI
- 1023986312
- Entity type
- Organization (NPI-2)
- Legal business name
- 3cw Tn PLLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2025
- Certification date
- Jan 20, 2026
- Last updated
- Jan 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – |
Other names
- Third Coast Wellness (Doing Business As)
Practice location
103 Sunset Dr Ste BMount Juliet, TN 37122-2968
Phone 615-622-2442
Mailing address
103 Sunset Dr Ste BMount Juliet, TN 37122-2968
Authorized official
Lori Holman
Member/Owner
6156222442
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