MEDICARE: INFINITE HEALTH & WELLNESS LLC

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	363LP2300X	Primary Care Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1164156188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE HEALTH & WELLNESS LLC

Provider Business Mailing Address
First Line	:	9722 GROFFS MILL DR # 819
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	443-836-5793
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCH LN # 204
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3705
Country	:	US
Telephone Number	:	443-836-5793
Fax Number	:	410-847-2523

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KEYSHA M JONES
Credential	:
Telephone Number	:	443-836-5793

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	07/09/2024

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