REVOLUTION WELLNESS
NPI 1174411102
Clinic/Center - Primary Care in Prairieville, LA

Q: What is Revolution Wellness's NPI number?

The NPI number for Revolution Wellness is 1174411102. It was assigned to this organization in the NPPES registry on June 26, 2025. The provider was formerly known as JB Aesthetics.

Q: What is Revolution Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 26, 2025

37283 SWAMP RD STE 1102, PRAIRIEVILLE, LA 70769(225) 931-5699 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Jun 26, 2025 (2 updates tracked since 2025).

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About Revolution Wellness NPPES

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

REVOLUTION WELLNESS (NPI 1174411102), doing business as Jb Aesthetics, is a healthcare organization registered as a primary care in Prairieville, Louisiana and active in the NPI registry since June 2025. The organization lists Holly Valentine, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1174411102

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameREVOLUTION WELLNESS

Location Address37283 SWAMP RD STE 1102Prairieville, LA 70769-3232

Mailing Address37283 Swamp Rd Ste 1102Prairieville, LA 70769-3232 · (225) 245-9355 · Fax (225) 536-9355

Phone(225) 931-5699

Organization SubpartNo

Authorized OfficialHolly ValentineOwner/np · (225) 245-9355

Enumeration DateJune 26, 2025

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1174411102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

37283 SWAMP RD STE 1102, Prairieville, LA 70769

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Other Names 1

Former Legal Business NameJb Aesthetics

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HOLLY VALENTINE FNP-C

Nurse Practitioner (Family)

37283 SWAMP RD STE 1102
PRAIRIEVILLE, LA 70769

Ascension Parish (225) 245-9355

JORDAN BRIGNAC APRN, FNP

Nurse Practitioner (Family)

37283 SWAMP RD STE 1102
PRAIRIEVILLE, LA 70769

Ascension Parish (225) 245-9355

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 Revolution Wellness's NPI number?

The NPI number for Revolution Wellness is 1174411102. It was assigned to this organization in the NPPES registry on June 26, 2025. The provider was formerly known as JB Aesthetics.

Where is Revolution Wellness located?

Revolution Wellness is located at 37283 Swamp Rd Ste 1102, Prairieville, LA 70769. The listed phone number is (225) 931-5699.

What is Revolution Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Revolution Wellness was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.