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NPI Code Detail

MEDICARE: JANELLE MARIE WELLS MD

MEDICARE:   JANELLE MARIE WELLS  MD
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
1207V00000XObstetrics & Gynecology Physician0101260648VA
2207Q00000XFamily Medicine Physician0101260648VA

General Provider Information

NPI Number : 1528293339
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE MARIE WELLS MD
Provider Business Mailing Address
First Line : 100 ENTERPRISE DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23692-3190
Country : US
Telephone Number : 757-736-3725
Fax Number : 757-431-7782
Provider Business Practice Location Address
First Line : 100 ENTERPRISE DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23692-3190
Country : US
Telephone Number : 757-736-3725
Fax Number : 757-431-7782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2009
Last Update Date : 11/22/2023

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Directions to “ JANELLE MARIE WELLS MD” Practice Location

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