Enhanced Wellness Living Pllc
NPI #1992161954 in Jackson, Mississippi
Provider Information
- NPI Number
- 1992161954
- Entity Type
- Organization
- Organization Name
- Enhanced Wellness Living Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 6, 2016
- Last Updated
- Jan 6, 2016
Practice Location
- Address
- 1855 LAKELAND DR
- Address 2
- STE M20
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4913
- Phone
- (601) 364-1132
Authorized Official
- Name
- MRS. KELLY B ENGELMANN, CFNP
- Title
- OWNER
- Phone
- (601) 364-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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