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HERITAGE WELLNESS CENTER, LLC
NPI 1952083495
Nurse Practitioner - Family in Macclenny, FL

Active since August 03, 2023
92 W LOWDER ST, MACCLENNY, FL 32063(904) 259-0092(904) 259-0094 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Wellness Center, Llc NPPES

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

HERITAGE WELLNESS CENTER, LLC (NPI 1952083495) is a healthcare organization registered as a family in Macclenny, Florida and active in the NPI registry since August 2023. The organization lists Claudette Michelle Mallory, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1952083495
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHERITAGE WELLNESS CENTER, LLC
Location Address92 W LOWDER STMacclenny, FL 32063-2676
Mailing Address92 W Lowder StMacclenny, FL 32063-2676 · (904) 259-0092 · Fax (904) 259-0094
Phone(904) 259-0092
Fax(904) 259-0094
Organization SubpartNo
Authorized OfficialClaudette Michelle MalloryNurse Practitioner · (904) 259-0092
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1952083495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
92 W LOWDER ST, Macclenny, FL 32063
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Other Names 1

Doing Business AsHeritage Wellness Center, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 10

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

CRISTIN ELLIS
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
CAROLYN MCCRARY
Nurse's Aide
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
AMANDA JEAN BONDIE
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
LINDA ANN PARRISH LMFT
Marriage & Family Therapist
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (904) 259-1137
DEREK BAKARI MCKIBBEN
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Community/Behavioral Health
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
VONCEIL PARNELL LEVINE LCSW
Social Worker (Clinical)
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
MRS. CLAUDETTE M MALLORY APRN
Nurse Practitioner (Family)
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (904) 259-0092

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 Heritage Wellness Center, LLC's NPI number?

The NPI number for Heritage Wellness Center, LLC is 1952083495. It was assigned to this organization in the NPPES registry on August 3, 2023.

Where is Heritage Wellness Center, LLC located?

Heritage Wellness Center, LLC is located at 92 W Lowder St, Macclenny, FL 32063. The listed phone number is (904) 259-0092.

What is Heritage Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Heritage Wellness Center, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Heritage Wellness Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Wellness Center, LLC was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.