NPI 1164002986

Kellie McGruder-Miller, NBCHWC

Practitioner Health & Wellness Coach Jacksonville, FL

Practice location

Address: 1536 N Jefferson St, Jacksonville, FL 32209-6525
Phone: (904) 732-6300

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence 3151183 (FL)

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Registry record

NPI: 1164002986
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2021
Record last updated: 14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.