PRIME WELLNESS CLINIC LLC NPI 1154661395

NPI Information

  • NPI: 1154661395
  • Provider Name: PRIME WELLNESS CLINIC LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 14904 JEFFERSON DAVIS HWY
    SUITE 305
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (571) 492-7702

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NPI Details

PRIME WELLNESS CLINIC LLC is a primary care clinic center in Woodbridge, VA. PRIME WELLNESS CLINIC LLC NPI is 1154661395. The provider is registered as an organization entity type.

The provider's business location address is:

14904 JEFFERSON DAVIS HWY
SUITE 305
WOODBRIDGE, VA
ZIP 22191-908
Phone: (571) 492-7702
Fax: (571) 492-7704

The provider's authorized official is Abubakari Welle .
The authorized official title is Proprietor and has the following contact phone number (703) 598-6146.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 9/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care0101245731VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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