Active NPIOrganization

Inner Journey Wellness PC

Nurse Practitioner, Family in Chilmark, Massachusetts

NPI Number1083389910
Practice location
3 Fulling Mill RD, Chilmark, MA 02535-2005
Fax
—
Last updated
August 12, 2021

Inner Journey Wellness PC is a healthcare organization based in Chilmark, MA. Inner Journey Wellness PC practices in Chilmark, MA. The NPI Number for Inner Journey Wellness PC is 1083389910. The current practice location address for Inner Journey Wellness PC is 3 Fulling Mill RD, Chilmark, MA 02535-2005 and can be reached out via phone at 508-245-8589.

Provider Profile Details

NPI Number
1083389910
Provider Name
Inner Journey Wellness PC
Provider Entity Type
Organization
Address
3 Fulling Mill RD, Chilmark, MA 02535-2005
Phone Number
508-245-8589
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Ms. Prudy Carter-Donovan, NP · Director · 508-245-8589
Provider Enumeration Date
August 12, 2021
Last Update Date
August 12, 2021
Certification Date
August 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Fulling Mill RD
Chilmark, MA 02535-2005
Zip
02535-2005
Phone Number
508-245-8589
Chilmark, MA 02535Get directions →

Provider Business Mailing Address Details

Address
3 Fulling Mill RD
Chilmark, MA 02535-2005
City
Chilmark
State
MA
Zip
02535-2005
Phone Number
508-245-8589

License Information

Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Inner Journey Wellness PC?

The NPI number of Inner Journey Wellness PC is 1083389910. It was assigned on August 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Inner Journey Wellness PC?

Inner Journey Wellness PC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Inner Journey Wellness PC practice?

The practice location is 3 Fulling Mill RD, Chilmark, MA 02535-2005. The office can be reached at 508-245-8589 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083389910 directly on the NPPES registry website.

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