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ADDICTION WELLNESS CENTER VA
NPI 1396602793
Nurse Practitioner in Front Royal, VA

Active since January 07, 2026
824 JOHN MARSHALL HWY STE 203, FRONT ROYAL, VA 22630(540) 655-2936(540) 736-4371 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Addiction Wellness Center Va NPPES

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

ADDICTION WELLNESS CENTER VA (NPI 1396602793) is a healthcare organization registered as a nurse practitioner in Front Royal, Virginia and active in the NPI registry since January 2026. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1396602793
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADDICTION WELLNESS CENTER VA
Location Address824 JOHN MARSHALL HWY STE 203Front Royal, VA 22630-3744
Mailing Address1100 Business Pkwy S Ste 1Westminster, MD 21157-3048 · (540) 655-2936 · Fax (540) 736-4371
Phone(540) 655-2936
Fax(540) 736-4371
Organization SubpartYes
Authorized OfficialJessie CostleyCredentialing Specialist · (540) 655-2936
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1396602793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

824 JOHN MARSHALL HWY STE 203, Front Royal, VA 22630
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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

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 Addiction Wellness Center VA's NPI number?

The NPI number for Addiction Wellness Center VA is 1396602793. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Addiction Wellness Center VA located?

Addiction Wellness Center VA is located at 824 John Marshall Hwy Ste 203, Front Royal, VA 22630. The listed phone number is (540) 655-2936.

What is Addiction Wellness Center VA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Addiction Wellness Center VA was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.