| NPI | 1790218923 |
|---|---|
| Doing Business As | SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM GILLILAND Credentialing 573-331-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 104100000X Social Worker |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2021-09-17 |