Revolution Wellness NP in Adult Health PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

REVOLUTION WELLNESS NP IN ADULT HEALTH PLLC

Practice address

296 S Bicycle Path
Farmingville, NY 11738-2124

Phone

(631) 997-8799

NPI assigned

Aug 25, 2026

Last updated

Aug 25, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jelisa Dopwell, DNP

Title

Owner

Phone

(631) 997-8799

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1235046392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN ST # 1007",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681721",
            "telephone_number": "631-997-8799",
            "fax_number": "209-589-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 S BICYCLE PATH",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382124",
            "telephone_number": "631-997-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION WELLNESS NP IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "DOPWELL",
        "authorized_official_first_name": "JELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-997-8799",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.