# VITALITY HEALTH AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1164742870
- **Authorized official:** MRS. SHANNON I SPEECE RN, MSN, ANP (OWNER)
- **Authorized official phone:** (252) 364-2802

## Contact information

- **Practice address:** 1429 E FIRE TOWER RD, STE 104, GREENVILLE, NC 27858-5730
- **Practice address phone:** (252) 364-2802
- **Practice address fax:** (252) 207-0709
- **Mailing address:** 1429 E FIRETOWER RD, STE 104, GREENVILLE, NC 27858-5731
- **Mailing address phone:** (252) 364-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 5004454 | NC | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 09/02/2016