Organization
INNOVO LIFE, LLC
Active
Other names
Innovo Life Coaching and Consulting Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KENNEDY (CO-OWNER/PRACTICE MANAGER)
(202) 355-8587
Entity
Organization
Contact information
Practice address
8101 SANDY SPRING RD STE 250, LAUREL, MD 20707-3527
(202) 355-8587
(202) 478-2919
Mailing address
PO BOX 212, SIMPSONVILLE, MD 21150-0212
(202) 355-8587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/20/2020
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