Organization
WELLLIFE, LLC
Active
Other names
WellLife Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GERMAINE JONES FNP-BC (CLINIC DIRECTOR)
(719) 694-8782
Entity
Organization
Contact information
Practice address
975 GARDEN OF THE GODS RD STE E, COLORADO SPRINGS, CO 80907-3434
(719) 694-8782
(719) 694-9375
Mailing address
975 GARDEN OF THE GODS RD STE E, COLORADO SPRINGS, CO 80907-3434
(719) 694-8782
(719) 694-9375
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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