Healthcare Provider Details

I. General information

NPI: 1336013937
Provider Name (Legal Business Name): ZW JONES MENTAL HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E BRANDON BLVD STE 11
BRANDON FL
33511-5509
US

IV. Provider business mailing address

1046 E BRANDON BLVD STE 11
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 314-313-8029
  • Fax: 813-435-2234
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZW JONES JR.
Title or Position: PMHNP
Credential: PMHNP
Phone: 314-313-8029