Healthcare Provider Details

I. General information

NPI: 1053274142
Provider Name (Legal Business Name): J&J PSYCHIATRIC AND MENTAL WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W SAMPLE RD STE 112E
COCONUT CREEK FL
33073-3457
US

IV. Provider business mailing address

3255 NW 94TH AVE UNIT 8575
CORAL SPRINGS FL
33075-2029
US

V. Phone/Fax

Practice location:
  • Phone: 954-795-0779
  • Fax:
Mailing address:
  • Phone: 954-795-0779
  • 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: WENDYLEE FLOWERS
Title or Position: OWNER/ PMHNP-BC
Credential: APRN, PMHNP
Phone: 954-795-0779