MEDICARE: NEW HOPE WELLNESS CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1003603572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE WELLNESS CENTER PLLC

Provider Business Mailing Address
First Line	:	104 E 2ND ST
Second Line	:
City	:	KENLY
State	:	NC
Zip	:	27542-7791
Country	:	US
Telephone Number	:	919-342-7666
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 E 2ND ST
Second Line	:
City	:	KENLY
State	:	NC
Zip	:	27542-7791
Country	:	US
Telephone Number	:	919-342-7666
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROSELINE O NWADIGO
Credential	:
Telephone Number	:	919-342-7666

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/21/2025

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Directions to “NEW HOPE WELLNESS CENTER PLLC ” Practice Location

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