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INNER JOURNEY WELLNESS PC
NPI 1083389910
Nurse Practitioner - Family in Chilmark, MA

Active since August 12, 2021
3 FULLING MILL RD, CHILMARK, MA 02535(508) 245-8589 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Inner Journey Wellness Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER JOURNEY WELLNESS PC (NPI 1083389910) is a healthcare organization registered as a family in Chilmark, Massachusetts and active in the NPI registry since August 2021. The organization lists Prudy Carter-donovan, Director, as its authorized official.

NPPES Registry Identity

NPI1083389910
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINNER JOURNEY WELLNESS PC
Location Address3 FULLING MILL RDChilmark, MA 02535-2005
Mailing Address3 Fulling Mill RdChilmark, MA 02535-2005 · (508) 245-8589
Phone(508) 245-8589
Organization SubpartNo
Authorized OfficialPrudy Carter-donovanDirector · (508) 245-8589
Enumeration DateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1083389910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3 FULLING MILL RD, Chilmark, MA 02535
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner Journey Wellness PC's NPI number?

The NPI number for Inner Journey Wellness PC is 1083389910. It was assigned to this organization in the NPPES registry on August 12, 2021.

Where is Inner Journey Wellness PC located?

Inner Journey Wellness PC is located at 3 Fulling Mill Rd, Chilmark, MA 02535. The listed phone number is (508) 245-8589.

What is Inner Journey Wellness PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Inner Journey Wellness PC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.