Healthcare Provider Details

I. General information

NPI: 1356275648
Provider Name (Legal Business Name): JADE MENTAL HEALTH AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 DELANNOY AVE STE 2
COCOA FL
32922-8202
US

IV. Provider business mailing address

511 DELANNOY AVE STE 2
COCOA FL
32922-8202
US

V. Phone/Fax

Practice location:
  • Phone: 321-495-7140
  • Fax:
Mailing address:
  • Phone: 321-495-7140
  • 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: MRS. KELSEY LYNN BAUER WEBB
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 321-505-7555