Jenna Bland
Individual provider Active NPI Health & Wellness Coach · Pana, IL
NPI 1548079536 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1548079536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 207 E 22ND St
Pana, IL 62557 - Phone
- (813) 892-6552
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
207 E 22ND St
Pana, IL 62557
Mailing address
207 E 22ND St
Pana, IL 62557
Phone (813) 892-6552
Other providers in Pana, IL
- Beyers Chiropractic PC
- Allison Leanne Beyers
- Heather Nicole Beyers
- Mollie Rae Beyers
- Wilfred C Beyers
- Tomasina Denise Bruns
- Samantha Burton
- Mamie Campbell
- Nikki Carls
- Whitney Kathryn Carruthers
All providers in Pana, IL · Health & Wellness Coach in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.