| 360 Wellness & Nutrition, Pa | |
|
2500 Nash St N Ste B Wilson NC 27896-1394 | |
| (252) 237-1225 | |
| Not Available |
| Full Name | 360 Wellness & Nutrition, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Nash St N Ste B, Wilson, North Carolina |
| Authorized Official Name and Position | Thomas E Hooper (OWNER/MD) |
| Authorized Official Contact | 2522371225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Wellness & Nutrition, Pa 2500 Nash St N Ste B Wilson NC 27896-1394 Ph: (252) 237-1225 | 360 Wellness & Nutrition, Pa 2500 Nash St N Ste B Wilson NC 27896-1394 Ph: (252) 237-1225 |
| NPI Number | 1316603285 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 05/06/2025 |
| Medicare PECOS PAC ID | 1254722366 |
|---|---|
| Medicare Enrollment ID | O20211228002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316603285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ana A Khoune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982665246 PECOS PAC ID: 7810898442 Enrollment ID: I20040116000756 |
| Provider Name | Thomas Eugene Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598726812 PECOS PAC ID: 5597891572 Enrollment ID: I20100329001067 |
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