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

Wound Company Provider Group, PA

Organization Continence Care Registered Nurse · NPI 1225749542

Wound Company Provider Group, PA is a Continence Care Registered Nurse in Minneapolis, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2240 Drew Ave S
Minneapolis, MN 55416-3646
Phone: (858) 774-6305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X
Continence Care Registered Nurse Taxonomy 163WC2100X
Enterostomal Therapy Registered Nurse Taxonomy 163WE0900X

Record details

NPI number1225749542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brantley Jolly — President · (703) 447-6897
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 5, 2022
Mailing address2240 Drew Ave S, Minneapolis, MN 55416-3646

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