Healthcare Provider Details

I. General information

NPI: 1851216014
Provider Name (Legal Business Name): ARTUS WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 TAMIAMI TRL S STE 101A
VENICE FL
34285-4133
US

IV. Provider business mailing address

24025 MADACA LANE UNIT 201 201
VENICE FL
34285-4133
US

V. Phone/Fax

Practice location:
  • Phone: 973-641-8985
  • Fax: 361-900-3465
Mailing address:
  • Phone: 973-641-8985
  • Fax: 361-900-3465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER OMOLON ARTUS
Title or Position: APRN
Credential: ARPN
Phone: 973-641-8985