Healthcare Provider Details

I. General information

NPI: 1881441624
Provider Name (Legal Business Name): JOWEN WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 VISTA PKWY STE 400
WEST PALM BEACH FL
33411-6742
US

IV. Provider business mailing address

2054 VISTA PARK WAY 400
WEST PALM BEACH FL
33411-1005
US

V. Phone/Fax

Practice location:
  • Phone: 561-294-8331
  • Fax:
Mailing address:
  • Phone: 561-440-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHANNE JOSEPH
Title or Position: FNP,PMHNP
Credential: NP
Phone: 561-440-8775