Provider Demographics
NPI:1487388252
Name:JP HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:JP HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DEMARCQUANAEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-241-1119
Mailing Address - Street 1:3746 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302-3252
Mailing Address - Country:US
Mailing Address - Phone:225-241-1119
Mailing Address - Fax:855-592-2699
Practice Address - Street 1:3746 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-3252
Practice Address - Country:US
Practice Address - Phone:318-239-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty