Healthcare Provider Details

I. General information

NPI: 1326974452
Provider Name (Legal Business Name): EDEN WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E STATE ST
DOYLESTOWN PA
18901-4310
US

IV. Provider business mailing address

15 E STATE ST
DOYLESTOWN PA
18901-4310
US

V. Phone/Fax

Practice location:
  • Phone: 215-967-3001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE JENNI-CHAMBERLAIN
Title or Position: MANAGER
Credential: NP
Phone: 267-981-8360