Addiction Wellness Center in LLC
NPI #1720703382 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1720703382
- Entity Type
- Organization
- Organization Name
- Addiction Wellness Center in LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 6, 2022
- Last Updated
- Feb 28, 2025
Practice Location
- Address
- 202 E MAPLE ST
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-3420
- Phone
- (667) 367-8357
Authorized Official
- Name
- JESSIE COSTLEY
- Title
- CREDENTIALING SPECIALIST
- Phone
- (443) 839-6928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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