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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone 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.