Provider Demographics
NPI:1740052836
Name:ADONAI HEALTH AND ESTHETICS, PLLC
Entity type:Organization
Organization Name:ADONAI HEALTH AND ESTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLORY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:910-650-0307
Mailing Address - Street 1:504 WHITE PICKET WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLY RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:28445-7815
Mailing Address - Country:US
Mailing Address - Phone:817-360-0519
Mailing Address - Fax:
Practice Address - Street 1:13 E DORIS AVE STE B-1
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5100
Practice Address - Country:US
Practice Address - Phone:910-650-0307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center