# ENVISION ELITE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envision Elite Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104533603
- **Authorized official:** JAN NELSON PMHNP-BC (OWNER)
- **Authorized official phone:** (781) 910-4598

## Contact information

- **Practice address:** 50 CONGRESS ST STE 636, BOSTON, MA 02109-4241
- **Practice address phone:** (617) 916-6212
- **Mailing address:** 147 JERSEY ST, MARBLEHEAD, MA 01945-1346
- **Mailing address phone:** (781) 910-4598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/03/2022