Healthcare Provider Details

I. General information

NPI: 1114805777
Provider Name (Legal Business Name): INNER WELLNESS & HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 FRANKLIN TPKE STE 202
WALDWICK NJ
07463-1859
US

IV. Provider business mailing address

93 FRANKLIN TPKE STE 202
WALDWICK NJ
07463-1859
US

V. Phone/Fax

Practice location:
  • Phone: 551-224-9997
  • Fax:
Mailing address:
  • Phone: 551-224-9997
  • 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: JESSICA MIGLIN
Title or Position: OWNER
Credential: APN
Phone: 973-476-5097