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FUSION OF WELLNESS: BODY, MIND, AND SOUL, LLC.
NPI 1922503465
Clinic/Center - Primary Care in Georgetown, IL

Active since March 27, 2018
712 N MAIN ST, GEORGETOWN, IL 61846(217) 274-6966 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2018, Mar 27, 2018 (2 updates tracked since 2018).

About Fusion Of Wellness: Body, Mind, And Soul, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUSION OF WELLNESS: BODY, MIND, AND SOUL, LLC. (NPI 1922503465) is a healthcare organization registered as a primary care in Georgetown, Illinois and active in the NPI registry since March 2018. The organization lists Fabienne Nadeen Witherspoon, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1922503465
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFUSION OF WELLNESS: BODY, MIND, AND SOUL, LLC.
Location Address712 N MAIN STGeorgetown, IL 61846-1440
Mailing Address712 N Main StGeorgetown, IL 61846-1440 · (217) 274-6966
Phone(217) 274-6966
Organization SubpartNo
Authorized OfficialFabienne Nadeen WitherspoonOwner/nurse Practitioner · (217) 274-6966
Enumeration DateMarch 27, 2018
Last NPPES UpdateMay 7, 20182 updates tracked since enumeration
✔ NPI 1922503465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 209009867
712 N MAIN ST, Georgetown, IL 61846
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. FABIENNE NADEEN WITHERSPOON NP-C
Nurse Practitioner (Family)
712 N MAIN ST
GEORGETOWN, IL 61846
Vermilion County (217) 274-6966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fusion Of Wellness: Body, Mind, And Soul, LLC.'s NPI number?

The NPI number for Fusion Of Wellness: Body, Mind, And Soul, LLC. is 1922503465. It was assigned to this organization in the NPPES registry on March 27, 2018.

Where is Fusion Of Wellness: Body, Mind, And Soul, LLC. located?

Fusion Of Wellness: Body, Mind, And Soul, LLC. is located at 712 N Main St, Georgetown, IL 61846. The listed phone number is (217) 274-6966.

What is Fusion Of Wellness: Body, Mind, And Soul, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fusion Of Wellness: Body, Mind, And Soul, LLC. was last updated on May 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.