Flourish Integrative Wellness LLC
Organization Active NPI Primary Care Clinic/Center · Ava, MO
NPI 1972182350 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1972182350
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- FLOURISH INTEGRATIVE WELLNESS LLC
- Practice address
- 133 S Jefferson St
Ava, MO 65608-5530 - Phone
- (417) 812-8800
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Micah Hubbard, FNP
- Title
- Owner, Nurse Practitioner
- Phone
- (417) 812-8800
Practitioners 1
-
Micah Nicole Hubbard, APRN, FNP-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
133 S Jefferson St
Ava, MO 65608-5530
Mailing address
133 S Jefferson St
Ava, MO 65608-5530
Phone (417) 812-8800
Other providers in Ava, MO
- Jacqueline Victoria Dugan
- Connie Louise Dunn
- Stacie Ely
- Family Pharmacy Inc.
- Allison M Felton
- Sybil Ann Fortner
- Christine Gentry
- Connie Ann Grand
- Kammi L Grosse
- Alexandra Harrell
All providers in Ava, MO · Primary Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. 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.