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BALANCED WELLNESS LLC
NPI 1790433456
Nurse Practitioner - Primary Care in Tulsa, OK

Active since March 11, 2022
4146 S HARVARD AVE STE F6, TULSA, OK 74135(918) 716-9717(855) 853-7274 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2025, Mar 11, 2022 (2 updates tracked since 2022).

About Balanced Wellness Llc NPPES

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

BALANCED WELLNESS LLC (NPI 1790433456) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since March 2022. The organization lists Jessica Ann Brewer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1790433456
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBALANCED WELLNESS LLC
Location Address4146 S HARVARD AVE STE F6Tulsa, OK 74135-2642
Mailing Address4146 S Harvard Ave Ste F6Tulsa, OK 74135-2642 · (918) 716-9717 · Fax (855) 853-7274
Phone(918) 716-9717
Fax(855) 853-7274
Organization SubpartNo
Authorized OfficialJessica Ann BrewerAuthorized Official · (918) 716-9717
Enumeration DateMarch 11, 2022
Last NPPES UpdateJuly 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1790433456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4146 S HARVARD AVE STE F6, Tulsa, OK 74135
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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 Balanced Wellness LLC's NPI number?

The NPI number for Balanced Wellness LLC is 1790433456. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Balanced Wellness LLC located?

Balanced Wellness LLC is located at 4146 S Harvard Ave Ste F6, Tulsa, OK 74135. The listed phone number is (918) 716-9717.

What is Balanced 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 Balanced Wellness LLC was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.