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Organization

AFFINITY FAMILY HEALTH AND WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMEE S BALTZELL APRN (OWNER)
(618) 429-9470
Entity
Organization

Contact information

Practice address
1108 N EAST ST, OLNEY, IL 62450-2462
(618) 429-9470
(833) 944-2035
Mailing address
1108 N EAST ST, OLNEY, IL 62450-2462
(618) 429-9470
(833) 944-2035

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001568938090
IL
05
325765630001
IL
05
351725028001
IL
Enumeration date
10/23/2018
Last updated
12/22/2022
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