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JSB WELLNESS LLC NPI 1184379919


NPI Information

NPI: 1184379919
Provider Name: JSB WELLNESS, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D2262734

Address:
997 OSGOOD STREET
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 580-9758
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JSB WELLNESS, LLC is a family medicine in North Andover, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JSB WELLNESS, LLC NPI is 1184379919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

997 OSGOOD STREET
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 580-9758

The provider's authorized official is Jennifer Sirois Beaudoin .
The authorized official title is President, Owner and has the following contact phone number (978) 580-9758.

The CLIA number assigned to this NPI record is 22D2262734 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2022 and was last updated on 2/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
2207QB0002XFamily MedicineObesity MedicineNo
32080B0002XPediatricsObesity MedicineNo
42083B0002XPreventive MedicineObesity MedicineNo
5207Q00000XFamily MedicineYes

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: 4/28/2024

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