# COGNITIVE WELLNESS SOLUTIONS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114590072
- **Authorized official:** JENNIFER WEATHERFORD APRN (OWNER)
- **Authorized official phone:** (480) 322-1415

## Contact information

- **Practice address:** 4365 E PECOS RD STE 138, GILBERT, AZ 85295-8053
- **Practice address phone:** (602) 935-4420
- **Mailing address:** 4365 E PECOS RD STE 138, GILBERT, AZ 85295-8053
- **Mailing address phone:** (480) 322-1415

## 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:** 07/20/2021
- **Last updated:** 01/11/2022