# B-WELL HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023845666
- **Authorized official:** JASON GLENN BOUTWELL APRN (OWNER)
- **Authorized official phone:** (850) 814-5547

## Contact information

- **Practice address:** 2216 HAMMOCK SQUARE DR UNIT 206, LYNN HAVEN, FL 32444-7618
- **Practice address phone:** (850) 814-5547
- **Practice address fax:** (850) 248-2468
- **Mailing address:** PO BOX 62, LYNN HAVEN, FL 32444-0062
- **Mailing address phone:** (850) 248-2468
- **Mailing address fax:** (850) 248-2469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024