NPI | 1538048012 |
---|---|
Other Name | INNOVATED HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | DEA JENIECE WOOLARD Nurse Practitioner/ Owner 757-214-4469 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-30 |