Provider Demographics
NPI:1730942681
Name:JEWEL'S HEALTH & WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:JEWEL'S HEALTH & WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:313-773-3707
Mailing Address - Street 1:24350 JOY RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1265
Mailing Address - Country:US
Mailing Address - Phone:313-766-4772
Mailing Address - Fax:866-395-6975
Practice Address - Street 1:24350 JOY RD STE 3A
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1265
Practice Address - Country:US
Practice Address - Phone:313-766-4772
Practice Address - Fax:866-395-6975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty