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

Serenitypass Holistic Health PLLC

Organization Family Nurse Practitioner · NPI 1639935281

Serenitypass Holistic Health PLLC provides Family Nurse Practitioner services in Sandoval, Illinois. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 N Mine St
Sandoval, IL 62882-1103
Phone: (618) 552-3034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1631 Robinett Rd, Odin, IL 62870-2109 — (618) 552-3034

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1639935281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Hall — Owner · (937) 577-4266
NPI enumeratedFebruary 22, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address605 N Mine St, Sandoval, IL 62882-1103

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