MEDICARE: JEWELS INTEGRATIVE PSYCHIATRY, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1821821604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWELS INTEGRATIVE PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 7035
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17404-0035
Country	:	US
Telephone Number	:	717-819-1923
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 WELDON DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17404-5061
Country	:	US
Telephone Number	:	717-819-1923
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PMHNP
Name	:	JALEESA RANAE JULES
Credential	:	CRNP
Telephone Number	:	717-819-1923

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

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