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HEALTHWISE 360 LLC
NPI 1376084814
Clinic/Center - Primary Care in Jackson, TN

Active since March 16, 2017
8 STONEBRIDGE BLVD STE M, JACKSON, TN 38305(731) 267-2836 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Healthwise 360 Llc NPPES

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

HEALTHWISE 360 LLC (NPI 1376084814) is a healthcare organization registered as a primary care in Jackson, Tennessee and active in the NPI registry since March 2017. The organization lists Kristie Gutgsell, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1376084814
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHWISE 360 LLC
Location Address8 STONEBRIDGE BLVD STE MJackson, TN 38305-2178
Mailing Address617 Bolen AveHenderson, TN 38340-1521
Phone(731) 267-2836
Organization SubpartNo
Authorized OfficialKristie GutgsellOwner/operator · (731) 736-4300
Enumeration DateMarch 16, 2017
Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration
✔ NPI 1376084814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8 STONEBRIDGE BLVD STE M, Jackson, TN 38305
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ027339TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHY MICHELLE O'CONNOR-WRAY DNP, APN, FNP-C
Nurse Practitioner (Family)
8 STONEBRIDGE BLVD STE M
JACKSON, TN 38305
Madison County (731) 265-6197

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 Healthwise 360 LLC's NPI number?

The NPI number for Healthwise 360 LLC is 1376084814. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Healthwise 360 LLC located?

Healthwise 360 LLC is located at 8 Stonebridge Blvd Ste M, Jackson, TN 38305. The listed phone number is (731) 267-2836.

What is Healthwise 360 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Healthwise 360 LLC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.