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J.C. WELLNESS & PRIMARY CARE, LLC
NPI 1346937737
Nurse Practitioner - Family in Altamonte Springs, FL

Active since April 18, 2023CLIA 10D2300796 · Waiver
616 E ALTAMONTE DR STE 203, ALTAMONTE SPRINGS, FL 32701(407) 701-7356(407) 598-8830 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About J.c. Wellness & Primary Care, Llc NPPES

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

J.C. WELLNESS & PRIMARY CARE, LLC (NPI 1346937737) is a healthcare organization registered as a family in Altamonte Springs, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Kenisha T. Wood, Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1346937737
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJ.C. WELLNESS & PRIMARY CARE, LLC
Location Address616 E ALTAMONTE DR STE 203Altamonte Springs, FL 32701-4810
Mailing Address3718 Greythorne LoopOviedo, FL 32765-9054 · (407) 701-7356
Phone(407) 701-7356
Fax(407) 598-8830
Organization SubpartNo
Authorized OfficialKenisha T. WoodNurse Practitioner/ Owner · (631) 219-8520
Enumeration DateApril 18, 2023
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1346937737 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
616 E ALTAMONTE DR STE 203, Altamonte Springs, FL 32701
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2300796

Jc Wellness & Primary Care, LLC · Altamonte Springs, FL
Active · expires Mar 14, 2028
CLIA Number10D2300796
Laboratory TypePractitioner Other
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorKenisha Wood
Laboratory Phone(407) 701-7356
Laboratory LocationJc Wellness & Primary Care, LLC616 E Altamonte Dr - Ste 203, Altamonte Springs, FL 32701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is J.C. WELLNESS & PRIMARY CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1346937737, enumerated as an "organization" on April 18, 2023.

Where is the provider located?

The provider is located at 616 E ALTAMONTE DR STE 203 ALTAMONTE SPRINGS, FL 32701 and the phone number is (407) 701-7356.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.