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SHEPHERDCARE WELLNESS CLINIC
NPI 1629823646
Nurse Practitioner - Family in Laurel, MD

Active since April 22, 2024
312 MARSHALL AVE STE 1010, LAUREL, MD 20707(410) 934-4813(410) 934-4815 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Shepherdcare Wellness Clinic NPPES

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

SHEPHERDCARE WELLNESS CLINIC (NPI 1629823646) is a healthcare organization registered as a family in Laurel, Maryland and active in the NPI registry since April 2024. The organization lists Foluke O Ajuwon, Provider, as its authorized official.

NPPES Registry Identity

NPI1629823646
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSHEPHERDHEALTHCARE SYSTEM,LLC
Location Address312 MARSHALL AVE STE 1010Laurel, MD 20707-4861
Mailing Address15320 Old Frederick RdWoodbine, MD 21797-8748 · (240) 938-4333 · Fax (410) 934-4815
Phone(410) 934-4813
Fax(410) 934-4815
Organization SubpartNo
Authorized OfficialFoluke O AjuwonProvider · (240) 938-4333
Enumeration DateApril 22, 2024
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1629823646 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
312 MARSHALL AVE STE 1010, Laurel, MD 20707
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Other Names 1

Doing Business AsShepherdcare Wellness Clinic

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 Shepherdhealthcare System,llc's NPI number?

The NPI number for Shepherdhealthcare System,llc is 1629823646. It was assigned to this organization in the NPPES registry on April 22, 2024. The provider is doing business as Shepherdcare Wellness Clinic.

Where is Shepherdhealthcare System,llc located?

Shepherdhealthcare System,llc is located at 312 Marshall Ave Ste 1010, Laurel, MD 20707. The listed phone number is (410) 934-4813.

What is Shepherdhealthcare System,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shepherdhealthcare System,llc was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.