Organization
KSKM HEALTH AND WELLNESS
Active
Other names
Vital Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA GAY FNP-BC, FPA (OWNER/CEO)
(217) 703-1444
Entity
Organization
Contact information
Practice address
106 E. DAVIS STREET, CATLIN, IL 61817
(217) 703-1444
Mailing address
PO BOX 80, CATLIN, IL 61817-0080
(217) 703-1444
(217) 703-1515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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