Provider Demographics
NPI:1225776446
Name:WINDWARD WELLNESS LLC
Entity Type:Organization
Organization Name:WINDWARD WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, BC
Authorized Official - Phone:508-952-9371
Mailing Address - Street 1:881 WORCESTER ST # 1007
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2087
Mailing Address - Country:US
Mailing Address - Phone:508-952-9371
Mailing Address - Fax:612-500-4643
Practice Address - Street 1:881 WORCESTER ST # 1007
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2087
Practice Address - Country:US
Practice Address - Phone:401-523-1221
Practice Address - Fax:612-500-4643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty