Organization · NPI-2
Adonai Health And Esthetics, PLLC
Clinic/Center · Jacksonville, NC
NPI number1740052836
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1740052836
- Entity type
- Organization (NPI-2)
- Legal business name
- Adonai Health And Esthetics, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
13 E Doris Ave Ste B-1Jacksonville, NC 28540-5100
Phone 910-650-0307
Mailing address
504 White Picket WayHolly Ridge, NC 28445-7815
Phone 817-360-0519
Authorized official
Apryl Guillory
Family Nurse Practitioner/Owner
9106500307
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