MEDICARE: J&A HEALTH AND WELLNESS SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LP2300X	Primary Care Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1992421523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&A HEALTH AND WELLNESS SERVICES, LLC

Provider Business Mailing Address
First Line	:	1370 N FAIRFIELD RD STE D
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2681
Country	:	US
Telephone Number	:	937-912-5155
Fax Number	:	937-912-5159

Provider Business Practice Location Address
First Line	:	1370 N FAIRFIELD RD STE D
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2681
Country	:	US
Telephone Number	:	937-912-5155
Fax Number	:	937-912-5159

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALYIA HOLLIS
Credential	:
Telephone Number	:	513-438-0709

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	03/14/2026

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