MIND AND HER WELLNESS NPI 1629948674

NPI Information

  • NPI: 1629948674
  • Provider Name: MIND AND HER WELLNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1108 ROE FORD RD
    GREENVILLE, SC
    ZIP 29617
  • Phone: (269) 503-4379

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NPI Details

MIND AND HER WELLNESS is a family nurse practitioner in Greenville, SC. MIND AND HER WELLNESS NPI is 1629948674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 ROE FORD RD
GREENVILLE, SC
ZIP 29617-142
Phone: (269) 503-4379

The provider's authorized official is Alexa Middleton .
The authorized official title is Np and has the following contact phone number (269) 503-4379.

The enumeration date for this NPI number is 11/6/2025 and was last updated on 11/6/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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

NPI Synchronization or Removal

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