| NPI | 1922682822 |
|---|---|
| Doing Business As | JACKSONVILLE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATHERINE S. O'NEIL Owner 217-204-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |