Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Xiii Moons Apothecary & Functional Wellness Center

Organization Nutrition Education Nutritionist · NPI 1780503516

Xiii Moons Apothecary & Functional Wellness Center provides Nutrition Education Nutritionist services in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

6050 Moncrief Rd Ste 8
Jacksonville, FL 32209-2564
Phone: (904) 551-0110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X

Record details

NPI number1780503516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenya Bonner — Founder & Ceo · (904) 551-0110
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address6050 Moncrief Rd Ste 8, Jacksonville, FL 32209-2564

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