# INNOVO LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovo Life Coaching and Consulting Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730540741
- **Authorized official:** JESSICA KENNEDY (CO-OWNER/PRACTICE MANAGER)
- **Authorized official phone:** (202) 355-8587

## Contact information

- **Practice address:** 8101 SANDY SPRING RD STE 250, LAUREL, MD 20707-3527
- **Practice address phone:** (202) 355-8587
- **Practice address fax:** (202) 478-2919
- **Mailing address:** PO BOX 212, SIMPSONVILLE, MD 21150-0212
- **Mailing address phone:** (202) 355-8587

## 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:** 03/18/2016
- **Last updated:** 03/20/2020