Organization Active NPI

Resilient Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1649147042
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESILIENT HEALTH & WELLNESS LLC
Practice address
4694 Glendas Meadow Dr
Jacksonville, FL 32210-0418
Phone
(904) 820-7988
NPI assigned
Oct 20, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
King Mungin Sr., APRN,PMHNP-BC, FNP-CNPI 1174042212
Title
Ceo/Owner
Phone
(904) 820-7988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

4694 Glendas Meadow Dr
Jacksonville, FL 32210-0418

Mailing address

4694 Glendas Meadow Dr
Jacksonville, FL 32210-0418
Phone (904) 820-7988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1649147042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4694 GLENDAS MEADOW DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322100418",
            "telephone_number": "904-820-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4694 GLENDAS MEADOW DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322100418",
            "telephone_number": "904-820-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MUNGIN",
        "authorized_official_first_name": "KING",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "904-820-7988",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "APRN,PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.