SOUTHWELL MEDICAL LLC.
NPI 1003520966
Nurse Practitioner in Knoxville, TN

Q: What is Southwell Medical LLC.'s NPI number?

The NPI number for Southwell Medical LLC. is 1003520966. It was assigned to this organization in the NPPES registry on January 5, 2023.

Q: What is Southwell Medical LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 05, 2023

207 LAKE FOREST DR, KNOXVILLE, TN 37920(865) 455-4817 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southwell Medical Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWELL MEDICAL LLC. (NPI 1003520966) is a healthcare organization registered as a nurse practitioner in Knoxville, Tennessee and active in the NPI registry since January 2023. The organization lists Jake Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1003520966

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHWELL MEDICAL LLC.

Location Address207 LAKE FOREST DRKnoxville, TN 37920-5144

Mailing Address207 Lake Forest DrKnoxville, TN 37920-5144 · (865) 455-4817

Phone(865) 455-4817

Organization SubpartNo

Authorized OfficialJake HarrisonOwner · (865) 455-4817

Enumeration DateJanuary 5, 2023

NPPES CertifiedJanuary 5, 2023

✔ NPI 1003520966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X

207 LAKE FOREST DR, Knoxville, TN 37920

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwell Medical LLC.'s NPI number?

The NPI number for Southwell Medical LLC. is 1003520966. It was assigned to this organization in the NPPES registry on January 5, 2023.

Where is Southwell Medical LLC. located?

Southwell Medical LLC. is located at 207 Lake Forest Dr, Knoxville, TN 37920. The listed phone number is (865) 455-4817.

What is Southwell Medical LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Southwell Medical LLC. was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.