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NPI Code Detail

MEDICARE: JAZZMIND WELLNESS, LLC

MEDICARE: JAZZMIND WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1962360800
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAZZMIND WELLNESS, LLC
Provider Business Mailing Address
First Line : 13921 ROCKINGHAM RD
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-2230
Country : US
Telephone Number : 240-635-9275
Fax Number : 240-332-5890
Provider Business Practice Location Address
First Line : 13921 ROCKINGHAM RD
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-2230
Country : US
Telephone Number : 240-635-9275
Fax Number : 240-332-5890
Authorized Official
Title or Position : OWNER / AUTHORIZED OFFICIAL
Name : JAZZMIN HOLLAND
Credential : PMHNP
Telephone Number : 240-635-9275
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “JAZZMIND WELLNESS, LLC ” Practice Location

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