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ADDICTION WELLNESS CENTER IN LLC
NPI 1720703382
Nurse Practitioner in Jeffersonville, IN

Active since October 06, 2022
202 E MAPLE ST, JEFFERSONVILLE, IN 47130(667) 367-8357 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Feb 21, 2023, Oct 6, 2022 (3 updates tracked since 2022).

About Addiction Wellness Center In Llc NPPES

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

ADDICTION WELLNESS CENTER IN LLC (NPI 1720703382) is a healthcare organization registered as a nurse practitioner in Jeffersonville, Indiana and active in the NPI registry since October 2022. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720703382
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADDICTION WELLNESS CENTER IN LLC
Location Address202 E MAPLE STJeffersonville, IN 47130-3420
Mailing Address1100 Business Pkwy S Ste 1Westminster, MD 21157-3048 · (667) 367-8357
Phone(667) 367-8357
Organization SubpartNo
Authorized OfficialJessie CostleyCredentialing Specialist · (443) 839-6928
Enumeration DateOctober 6, 2022
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1720703382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
202 E MAPLE ST, Jeffersonville, IN 47130
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Group Practice 2

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

Other Providers at the Same Location NPPES 7

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

SARAH FISCHER LSW
Social Worker
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (855) 653-1459
PAX RIVERBEND LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (815) 250-5006
LYNETTE E. ANDERSON LCADC, CSW, CBIS
Counselor (Addiction (Substance Use Disorder))
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (715) 820-0856
LISA RUTH MAY FNP-BC
Nurse Practitioner (Family)
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (317) 220-6383
JENNIFER LEE HELVEY
Social Worker (Clinical)
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (812) 410-4329
JAYONA NASHAY GRAY LMCHA
Counselor (Mental Health)
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (855) 652-0546
EMERALD CARE IN
Nurse Practitioner
202 E MAPLE ST
JEFFERSONVILLE, IN 47130
Clark County (812) 850-0619

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 In LLC's NPI number?

The NPI number for Addiction Wellness Center In LLC is 1720703382. It was assigned to this organization in the NPPES registry on October 6, 2022.

Where is Addiction Wellness Center In LLC located?

Addiction Wellness Center In LLC is located at 202 E Maple St, Jeffersonville, IN 47130. The listed phone number is (667) 367-8357.

What is Addiction Wellness Center In LLC'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 In LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.