Organization · Type 2 NPI
Soulful Sanctuary, LLC
Family Nurse Practitioner · Vincennes, IN
NPI number
1225944853
Active
Practice location
707 Busseron St Ste C-1
Vincennes, IN 47591-2903
Fax (812) 203-4161
Mailing address
15549 Lake Lawrence Rd
Lawrenceville, IL 62439-4722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1225944853
Soulful Sanctuary, LLC's National Provider Identifier is 1225944853, issued on Aug 22, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vincennes, IN. The record was last updated on Aug 22, 2026.