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NPI Code Detail

MEDICARE: JOWEN WELLNESS CENTER LLC

MEDICARE: JOWEN WELLNESS CENTER 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
1261QM0850XAdult Mental Health Clinic/Center
2363L00000XNurse Practitioner

General Provider Information

NPI Number : 1881441624
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOWEN WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 2054 VISTA PARK WAY
Second Line : 400
City : WEST PALM BEACH
State : FL
Zip : 33411-1005
Country : US
Telephone Number : 561-440-8775
Fax Number :
Provider Business Practice Location Address
First Line : 2054 VISTA PKWY STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6742
Country : US
Telephone Number : 561-294-8331
Fax Number :
Authorized Official
Title or Position : FNP,PMHNP
Name : JOHANNE JOSEPH
Credential : NP
Telephone Number : 561-440-8775
Provider Enumeration Date : 04/30/2024
Last Update Date : 02/05/2026

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Directions to “JOWEN WELLNESS CENTER LLC ” Practice Location

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