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Organization

PREMIER WELLNESS PROFESSIONAL NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN TAYLOR PMHNP-BC (OWNER)
(510) 761-7274
Entity
Organization

Contact information

Practice address
2648 INTERNATIONAL BLVD STE 115, PMB 1120, OAKLAND, CA 94601-1569
(510) 761-7274
(972) 845-8004
Mailing address
2648 INTERNATIONAL BLVD STE, OAKLAND, CA 94601-1569
(510) 761-7274

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/03/2025
Last updated
11/24/2025
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