| Journey Health & Wellness | |
|
100 Concourse Blvd Ste 150 Glen Allen VA 23059-5751 | |
| (804) 416-6673 | |
| (804) 886-9046 |
| Full Name | Journey Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Concourse Blvd Ste 150, Glen Allen, Virginia |
| Authorized Official Name and Position | Angela Tucker Anderson (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 8044166673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Health & Wellness 100 Concourse Blvd Ste 150 Glen Allen VA 23059-5751 Ph: (804) 416-6673 | Journey Health & Wellness 100 Concourse Blvd Ste 150 Glen Allen VA 23059-5751 Ph: (804) 416-6673 |
| NPI Number | 1720616295 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 2860823838 |
|---|---|
| Medicare Enrollment ID | O20200506001709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720616295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Angela Tucker Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528314556 PECOS PAC ID: 3375798499 Enrollment ID: I20130221000135 |
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