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WOUND COMPANY PROVIDER GROUP, P.A.
NPI 1225749542
Registered Nurse - Wound Care in Minneapolis, MN

Active since December 07, 2022
2240 DREW AVE S, MINNEAPOLIS, MN 55416(858) 774-6305 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wound Company Provider Group, P.a. NPPES

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

WOUND COMPANY PROVIDER GROUP, P.A. (NPI 1225749542) is a healthcare organization registered as a wound care in Minneapolis, Minnesota and active in the NPI registry since December 2022. The organization lists Brantley Tilman Jolly, President, as its authorized official.

NPPES Registry Identity

NPI1225749542
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameWOUND COMPANY PROVIDER GROUP, P.A.
Location Address2240 DREW AVE SMinneapolis, MN 55416-3646
Mailing Address2240 Drew Ave SMinneapolis, MN 55416-3646 · (858) 774-6305
Phone(858) 774-6305
Organization SubpartNo
Authorized OfficialBrantley Tilman JollyPresident · (703) 447-6897
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1225749542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedRegistered Nurse · Continence CareTaxonomy 163WC2100X
Also ListedRegistered Nurse · Enterostomal TherapyTaxonomy 163WE0900X
2240 DREW AVE S, Minneapolis, MN 55416
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JULIE LEE ROSKAMP RN, CWOCN
Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Hennepin County (952) 985-0747
NICOLE NIEUWSMA RN, CWON
Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Hennepin County (701) 220-9262
WOUND COMPANY PROVIDER GROUP, INC.
Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Hennepin County (858) 774-6305
ALLISON USSET GILLES DNP
Nurse Practitioner
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Hennepin County (952) 985-0747
TISHA WILLIS FNP
Nurse Practitioner (Family)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Hennepin County (952) 985-0747

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 Wound Company Provider Group, P.A.'s NPI number?

The NPI number for Wound Company Provider Group, P.A. is 1225749542. It was assigned to this organization in the NPPES registry on December 7, 2022.

Where is Wound Company Provider Group, P.A. located?

Wound Company Provider Group, P.A. is located at 2240 Drew Ave S, Minneapolis, MN 55416. The listed phone number is (858) 774-6305.

What is Wound Company Provider Group, P.A.'s specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

When was this NPI record last updated?

The NPPES record for Wound Company Provider Group, P.A. was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.