Organization
JLS MEDICAL PC
Active
Other names
Wellbrook Health
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL LEE (MANAGER)
(425) 458-8525
Entity
Organization
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
(877) 485-8918
Mailing address
43 S RIDGE CT, RIDGEFIELD, CT 06877-5420
(425) 458-8525
(877) 485-8918
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812668
—
NJ
Enumeration date
03/12/2021
Last updated
03/08/2023
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