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

Holistic Longevity Center

Organization Nutritionist · NPI 1649118811

Holistic Longevity Center is a Nutritionist in Woodbridge, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

14017 Telegraph Rd
Woodbridge, VA 22192-4611
Phone: (703) 987-7444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1649118811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Bullard — Owner/Nutritionist · (703) 987-7444
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 22, 2026
Mailing address6111 Oaklawn Ln, Woodbridge, VA 22193-3969

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