| Willow Wellness | |
|
15 N Court St Frederick MD 21701-5413 | |
| (513) 491-2554 | |
| Not Available |
| Full Name | Willow Wellness |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 15 N Court St, Frederick, Maryland |
| Authorized Official Name and Position | Jennifer Douglas (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 5134912554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Wellness 18348 Spark Dr Unit 201-349 Hagerstown MD 21740-2085 Ph: () - | Willow Wellness 15 N Court St Frederick MD 21701-5413 Ph: (513) 491-2554 |
| NPI Number | 1376248609 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376248609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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