Healthcare Provider Details

I. General information

NPI: 1699695197
Provider Name (Legal Business Name): WHOLE LIFE PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 BLUFF OAK WAY APT 6101
TALLAHASSEE FL
32311-6132
US

IV. Provider business mailing address

2300 BLUFF OAK WAY APT 6101
TALLAHASSEE FL
32311-6132
US

V. Phone/Fax

Practice location:
  • Phone: 229-485-7800
  • Fax: 229-212-7009
Mailing address:
  • Phone: 229-485-7800
  • Fax: 229-212-7009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATASHA CLAYTON WILLIAMS
Title or Position: OWNER
Credential: APRN, FNP-BC, MBA
Phone: 229-485-7800