MEDICARE: CLARITY WELLNESS, L.L.C

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	:	1962369371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY WELLNESS, L.L.C

Provider Business Mailing Address
First Line	:	20225 YANKEE HARBOR PL
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5836
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20225 YANKEE HARBOR PL
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-5836
Country	:	US
Telephone Number	:	830-260-3239
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	PAPETUA JEPKOECH KIMUTAI
Credential	:	DR
Telephone Number	:	830-260-3239

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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