Isaiah 58 Health & Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ARNP9338409 Issued in FL

Legal business name

ISAIAH 58 HEALTH & WELLNESS CENTER

Practice address

494 Maple Ave
Fort Pierce, FL 34982-5949

Phone

(772) 267-0516

NPI assigned

Jun 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Eva Bryant, ARNP

Title

Family Nurse Practitioner

Phone

(772) 267-0516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1407349665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12144",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349792144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 MAPLE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825949",
            "telephone_number": "772-267-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH 58 HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "772-267-0516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9338409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONER",
            "identifier": "1717997",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.