Organization
F&M WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BROSKE JACOME FNP-C (NURSE PRACTITIONER)
(706) 294-6485
Entity
Organization
Contact information
Practice address
614 MULLINS COLONY DR, EVANS, GA 30809-0579
(706) 760-7272
(706) 760-7276
Mailing address
4313 SOUTHERN PINES DR, EVANS, GA 30809-5147
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
305S00000X
Point of Service
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/18/2023
Last updated
01/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us