Healthcare Provider Details

I. General information

NPI: 1730063645
Provider Name (Legal Business Name): ZOLIA WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W MAIN ST
NORTHBOROUGH MA
01532-1909
US

IV. Provider business mailing address

25 W MAIN ST
NORTHBOROUGH MA
01532-1909
US

V. Phone/Fax

Practice location:
  • Phone: 508-340-0070
  • Fax:
Mailing address:
  • Phone: 508-919-6018
  • Fax:

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: JENNA LIN
Title or Position: NURSE PRACTITIONER
Credential: NP-C
Phone: 508-919-6018