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 is a Nutrition Education Nutritionist 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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