Heritage Wellness Center, LLC

NPI #1952083495 in Macclenny, Florida

Provider Information

NPI Number
1952083495
Entity Type
Organization
Organization Name
Heritage Wellness Center, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 3, 2023
Last Updated
Aug 3, 2023

Practice Location

Address
92 W LOWDER ST
State
Florida
ZIP Code
32063-2676
Phone
(904) 259-0092

Authorized Official

Name
MRS. CLAUDETTE MICHELLE MALLORY, APRN
Title
NURSE PRACTITIONER
Phone
(904) 259-0092

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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