JAE3 HEALTH AND WELLNESS LLC
NPI 1215529805
Nurse Practitioner - Primary Care in Bowie, MD

Q: What is Jae3 Health And Wellness LLC's NPI number?

The NPI number for Jae3 Health And Wellness LLC is 1215529805. It was assigned to this organization in the NPPES registry on February 5, 2021.

Q: What is Jae3 Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since February 05, 2021

9607 OXBRIDGE WAY, BOWIE, MD 20721(240) 691-9840 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jae3 Health And Wellness Llc NPPES

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

JAE3 HEALTH AND WELLNESS LLC (NPI 1215529805) is a healthcare organization registered as a primary care in Bowie, Maryland and active in the NPI registry since February 2021. The organization lists Agnes J Kallon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1215529805

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameJAE3 HEALTH AND WELLNESS LLC

Location Address9607 OXBRIDGE WAYBowie, MD 20721

Mailing Address9607 Oxbridge WayBowie, MD 20721 · (240) 691-9840

Phone(240) 691-9840

Organization SubpartNo

Authorized OfficialAgnes J KallonMedical Director · (240) 691-9840

Enumeration DateFebruary 5, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1215529805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

9607 OXBRIDGE WAY, Bowie, MD 20721

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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 Jae3 Health And Wellness LLC's NPI number?

The NPI number for Jae3 Health And Wellness LLC is 1215529805. It was assigned to this organization in the NPPES registry on February 5, 2021.

Where is Jae3 Health And Wellness LLC located?

Jae3 Health And Wellness LLC is located at 9607 Oxbridge Way, Bowie, MD 20721. The listed phone number is (240) 691-9840.

What is Jae3 Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jae3 Health And Wellness LLC was last updated on February 5, 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.