Emerson Jane Wellness Center, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
EMERSON JANE WELLNESS CENTER, LLC	1841964871	2021-08-03

The organization Emerson Jane Wellness Center, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1841964871. Registration indicates Emerson Jane Wellness Center, Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity Type	Organization

Provider Organization	EMERSON JANE WELLNESS CENTER, LLC
Practice Office Address	1664 S DIXIE DR STE L106 SAINT GEORGE, UT US
Practice Office Telephone	4356336933
Practice Office Fax	8662302163
Mailing Address	172 S 200 E SAINT GEORGE, UT 847703436 US
Authorized Official	JILLEEN LANGSTON KIRKLA, OWNER/NURSE PRA 4356336933

HPT Codes

Code	Practice	License No State
207Q00000X PRIMARY	Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians
193400000X SING		Group Code

OPI Codes

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