# JSB WELLNESS, LLC

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

## Provider details

- **NPI number:** 1184379919
- **Authorized official:** MRS. JENNIFER SIROIS BEAUDOIN (PRESIDENT, OWNER)
- **Authorized official phone:** (978) 580-9758

## Contact information

- **Practice address:** 997 OSGOOD STREET, NORTH ANDOVER, MA 01845
- **Practice address phone:** (978) 580-9758
- **Mailing address:** 18 BIRCH HILL DR, METHUEN, MA 01844-4165
- **Mailing address phone:** (978) 580-9758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | — | NULL | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/21/2022