Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addiction Wellness Center in LLC

Organization Nurse Practitioner · NPI 1720703382

Addiction Wellness Center in LLC is a Nurse Practitioner in Jeffersonville, Indiana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 E Maple St
Jeffersonville, IN 47130-3420
Phone: (667) 367-8357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1720703382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Costley — Credentialing Specialist · (443) 839-6928
NPI enumeratedOctober 6, 2022
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address1100 Business Pkwy S Ste 1, Westminster, MD 21157-3048

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