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ANGELA BUCKNER
NPI 1073046587
Nurse Practitioner - Family in Dunlap, TN

Active since April 11, 2017
517 RUSSELL ST, SUITE C, DUNLAP, TN 37327(423) 949-9355(423) 949-9358 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Buckner NPPES

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

ANGELA BUCKNER (NPI 1073046587) is a healthcare organization registered as a family in Dunlap, Tennessee and active in the NPI registry since April 2017. The organization lists Angela Louise Buckner, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073046587
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELLCARE FAMILY MEDICINE PLLC
Location Address517 RUSSELL ST, SUITE CDunlap, TN 37327-3648
Mailing Address517 Russell St, Suite CDunlap, TN 37327-3648 · (423) 949-9355 · Fax (423) 949-9358
Phone(423) 949-9355
Fax(423) 949-9358
Organization SubpartNo
Authorized OfficialAngela Louise BucknerOwner/provider · (423) 949-9355
Enumeration DateApril 11, 2017
✔ NPI 1073046587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN16901
517 RUSSELL ST, Dunlap, TN 37327
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Other Names 1

Doing Business AsAngela Buckner

Other Identifiers 2

Medicare OSCAR/certification103I50557TN
Medicaid1529434TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Wellcare Family Medicine PLLC's NPI number?

The NPI number for Wellcare Family Medicine PLLC is 1073046587. It was assigned to this organization in the NPPES registry on April 11, 2017. The provider is doing business as Angela Buckner.

Where is Wellcare Family Medicine PLLC located?

Wellcare Family Medicine PLLC is located at 517 Russell St Suite C, Dunlap, TN 37327. The listed phone number is (423) 949-9355.

What is Wellcare Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wellcare Family Medicine PLLC was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.