Organization
REVOLUTION WELLNESS
Active
Other names
JB Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY VALENTINE FNP-C (OWNER/NP)
(225) 245-9355
Entity
Organization
Contact information
Practice address
37283 SWAMP RD STE 1102, PRAIRIEVILLE, LA 70769-3232
(225) 931-5699
Mailing address
37283 SWAMP RD STE 1102, PRAIRIEVILLE, LA 70769-3232
(225) 245-9355
(225) 536-9355
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
05/04/2026
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