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

Jomon Wellness LLC

Organization Family Nurse Practitioner · NPI 1922853860

Jomon Wellness LLC is a Family Nurse Practitioner in Stanford, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
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

132 Frontier Blvd Ste 103
Stanford, KY 40484-6516
Phone: (859) 287-2949
Fax: (855) 297-6367
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1922853860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Boller — Owner/Np · (859) 287-2949
NPI enumeratedApril 23, 2024
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address132 Frontier Blvd Ste 103, Stanford, KY 40484-6516

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