Healthcare Provider Details

I. General information

NPI: 1164156188
Provider Name (Legal Business Name): INFINITE HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHURCH LN # 204
PIKESVILLE MD
21208-3705
US

IV. Provider business mailing address

9722 GROFFS MILL DR # 819
OWINGS MILLS MD
21117-6341
US

V. Phone/Fax

Practice location:
  • Phone: 443-836-5793
  • Fax: 410-847-2523
Mailing address:
  • Phone: 443-836-5793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. KEYSHA M JONES
Title or Position: OWNER
Credential:
Phone: 443-836-5793