Organization
PREMIER WELLNESS PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN NICHOLE TAYLOR PMHNP-BC (OWNER)
(510) 795-2434
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 301, OAKLAND, CA 94601-1580
(510) 761-7274
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/03/2025
Last updated
05/22/2026
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