Organization
VITA-INFUSION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMEELA WILLIAMS-JACKSON NP (OWNER)
(615) 689-0807
Entity
Organization
Contact information
Practice address
901 WOODLAND ST STE 104, NASHVILLE, TN 37206-3792
(615) 689-0807
Mailing address
901 WOODLAND ST STE 104, NASHVILLE, TN 37206-3792
(615) 689-0807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/18/2021
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