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TJ WELLNESS, LLC
NPI 1275178188
Nurse Practitioner - Primary Care in Port St Lucie, FL

Active since November 14, 2019
1893 SW KIMBERLY AVE, PORT ST LUCIE, FL 34953(772) 643-1645 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Tj Wellness, Llc NPPES

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

TJ WELLNESS, LLC (NPI 1275178188) is a healthcare organization registered as a primary care in Port St Lucie, Florida and active in the NPI registry since November 2019. The organization lists Taisha Johnson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1275178188
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTJ WELLNESS, LLC
Location Address1893 SW KIMBERLY AVEPort St Lucie, FL 34953-1020
Mailing Address1893 Sw Kimberly AvePort St Lucie, FL 34953-1020 · (772) 643-1645
Phone(772) 643-1645
Organization SubpartNo
Authorized OfficialTaisha JohnsonNurse Practitioner · (772) 643-1645
Enumeration DateNovember 14, 2019
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1275178188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
1893 SW KIMBERLY AVE, Port St Lucie, FL 34953
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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

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

MS. TAISHA JOHNSON APRN, NP-C
Nurse Practitioner
1893 SW KIMBERLY AVE
PORT ST LUCIE, FL 34953
St. Lucie County (772) 643-1645

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 Tj Wellness, LLC's NPI number?

The NPI number for Tj Wellness, LLC is 1275178188. It was assigned to this organization in the NPPES registry on November 14, 2019.

Where is Tj Wellness, LLC located?

Tj Wellness, LLC is located at 1893 SW Kimberly Ave, Port St Lucie, FL 34953. The listed phone number is (772) 643-1645.

What is Tj 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 Tj Wellness, LLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.