HERITAGE WELLNESS CENTER, LLC is a family nurse practitioner in Macclenny, FL. HERITAGE WELLNESS CENTER, LLC NPI is 1952083495. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
92 W LOWDER ST
MACCLENNY, FL
ZIP 32063-676
Phone: (904) 259-0092
Fax: (904) 259-0094
The provider's authorized official is Claudette Michelle Mallory .
The authorized official title is Nurse Practitioner and has the following contact phone number (904) 259-0092.
The CLIA number assigned to this NPI record is 10D2289540 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/3/2023 and was last updated on 8/3/2023.