Ijn Medical Wellness, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

IJN MEDICAL WELLNESS, LLC

Practice address

3003 Hollow Crest PL
Brookeville, MD 20833-3290

Phone

(301) 437-2978

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Rhonda R Stewart

Title

Credentialing Specialist

Phone

(240) 274-4642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1235793258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HOLLOW CREST PL",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333290",
            "telephone_number": "301-437-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOLLOW CREST PL",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333290",
            "telephone_number": "301-437-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJN MEDICAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "240-274-4642"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kay Glass, LCSW-C
• Jill Robin Grodofsky, MA, CCC-SLP
• Jessica Hagedorn
• Zev Halpern, LCPC
• Holistic Speech Success LLC
• Ali Reza Iravani, RPH
• Dorothy Kane, IBCLC
• Kensington Physical Therapy Inc
• Bonnie S Kramer, M. ED., CCC
• Carol Ann Kugler, RN

• Adult Health Nurse Practitioner in Brookeville, MD
• Providers in Brookeville, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.