Whole Health Family Practice, PC

NPI #1922476241 in O Fallon, Illinois

Provider Information

NPI Number
1922476241
Entity Type
Organization
Organization Name
Whole Health Family Practice, PC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 2, 2015
Last Updated
May 3, 2016

Practice Location

Address
922 TALON DR
Address 2
SUITE B
ZIP Code
62269-1848
Phone
(618) 622-1200

Authorized Official

Name
MS. CRYSTAL S JESENICK, APN, FNP-C
Title
FAMILY NURSE PRACTITIONER
Phone
(618) 622-1200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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