Wayfarer Wellness Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WAYFARER WELLNESS CLINIC, LLC

Practice address

6322 Rowan Rd
New Port Richey, FL 34653-3400

Phone

(727) 777-9355

Fax

(800) 339-7093

NPI assigned

Jun 16, 2026

Last updated

Jul 4, 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

Dr. Jillian Audreya Fawn Stuper, DNP, MSN, FNP-CNPI 1043718521

Title

Owner/Nurse Practitioner

Phone

(727) 777-9355

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jillian Audreya Fawn Stuper, DNP, MSN, FNP-C

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1043718521
  NPD Authorized official

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783123200000",
    "number": "1265367825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533400",
            "telephone_number": "727-777-9355",
            "fax_number": "800-339-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533400",
            "telephone_number": "727-777-9355",
            "fax_number": "800-339-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFARER WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A",
        "authorized_official_last_name": "STUPER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "AUDREYA FAWN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "727-777-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9344892",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043718521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Eugene Wathen, LMHC
• Kashmir Alana Rochell Watkins
• Lorreta Watson
• Shalaah Watson
• Janet Marie Waye, LCSW
• Ali N Wazni, M.D.
• Kathy L Weaver, RPH
• Jennifer Weeks, RBT
• Robert Weider
• Debora Weksler, M.T.

• Primary Care Clinic/Center in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.