Provider Demographics
NPI:1790573939
Name:WOUND X MOBILE LLC
Entity type:Organization
Organization Name:WOUND X MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMPTER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP, FNP-BC
Authorized Official - Phone:443-909-8586
Mailing Address - Street 1:PO BOX 43242
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-0242
Mailing Address - Country:US
Mailing Address - Phone:443-909-8586
Mailing Address - Fax:
Practice Address - Street 1:8095 SANDPIPER CIR APT 410
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5060
Practice Address - Country:US
Practice Address - Phone:443-909-8586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty