| Wayfarer Wellness Clinic, Llc | |
|
6322 Rowan Rd New Port Richey FL 34653-3400 | |
| (727) 777-9355 | |
| (800) 339-7093 |
| Full Name | Wayfarer Wellness Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6322 Rowan Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Jillian Audreya Fawn Stuper (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7277779355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayfarer Wellness Clinic, Llc 6322 Rowan Rd New Port Richey FL 34653-3400 Ph: (727) 777-9355 | Wayfarer Wellness Clinic, Llc 6322 Rowan Rd New Port Richey FL 34653-3400 Ph: (727) 777-9355 |
| NPI Number | 1265367825 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 07/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265367825 | NPI | - | NPPES |
| 9344892 | Other | FL | STATE LICENSE |
| 1043718521 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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