# WESTSIDE WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jill E Smothers FNP, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053880120
- **Authorized official:** MS. JILL SMOTHERS FNP (OWNER, MANAGING MEMBER)
- **Authorized official phone:** (719) 646-6746

## Contact information

- **Practice address:** 2020 W COLORADO AVE STE 201, COLORADO SPRINGS, CO 80904-3863
- **Practice address phone:** (719) 646-6746
- **Practice address fax:** (719) 434-9556
- **Mailing address:** 2020 W COLORADO AVE STE 301, COLORADO SPRINGS, CO 80904-3882
- **Mailing address phone:** (719) 646-6746
- **Mailing address fax:** (719) 473-4581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 04/02/2020