Mary Jean Wells, MSN, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024169788 Issued in VA

Practice address

549 E. Brambleton Ave.
Jencare Neighborhood Medical Norfolk, LLC
Norfolk, VA 23510

Phone

(757) 533-9441

Fax

(757) 282-7600

NPI assigned

Aug 7, 2006

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1598774374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E. BRAMBLETON AVE.",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-533-9441",
            "fax_number": "757-282-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E. BRAMBLETON AVE.",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL NORFOLK, LLC",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-533-9441",
            "fax_number": "757-282-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301590",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024169788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Wells
• Brittney Marie Wells
• Heather Ashley Wells, PHARMD
• Jason M. Wells, M.D.
• Kelly Nicole Wells
• Nicole K Wells, PHD
• Wellview Support Services LLC
• Jeffrey M Wentworth, M.D.
• Grace Visser Wentz, LPC
• Terri Wentz, BS

• Adult Health Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.