NPI | 1366028797 |
---|---|
Other Name | JABIL MEDICAL AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JEFF WELLS CEO 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-03-24 |
Last Update Date | 2024-04-12 |