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Organization
WHOLE HEALTH FAMILY PRACTICE, PC
Active
Organization
WHOLE HEALTH FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL S JESENICK APN, FNP-C (FAMILY NURSE PRACTITIONER)
(618) 622-1200
Entity
Organization
Contact information
Practice address
922 TALON DR, SUITE B, O FALLON, IL 62269-1848
(618) 622-1200
(314) 270-5283
Mailing address
825 SAYBROOK FALLS DR, FAIRVIEW HEIGHTS, IL 62208-2168
(618) 622-1200
(314) 270-5283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006003
IL
Other
Enumeration date
09/02/2015
Last updated
05/03/2016
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