# EMERSON JANE WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1841964871
- **Authorized official:** JILLEEN LANGSTON KIRKLAND FNP-BC (OWNER/NURSE PRACITIONER)
- **Authorized official phone:** (435) 633-6933

## Contact information

- **Practice address:** 1664 S DIXIE DR STE L106, SAINT GEORGE, UT 84770-7331
- **Practice address phone:** (435) 633-6933
- **Practice address fax:** (866) 230-2163
- **Mailing address:** 172 S 200 E, SAINT GEORGE, UT 84770-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 08/03/2021
