Provider Demographics
NPI:1184261265
Name:VES WELLNESS, LLC
Entity type:Organization
Organization Name:VES WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT PSYCH/MH NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:V
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-PMH
Authorized Official - Phone:443-798-1188
Mailing Address - Street 1:22 W PADONIA RD STE C348
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2243
Mailing Address - Country:US
Mailing Address - Phone:443-798-1188
Mailing Address - Fax:
Practice Address - Street 1:22 W PADONIA RD STE C348
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2243
Practice Address - Country:US
Practice Address - Phone:443-798-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty