Organization
MENTAL WELLNESS FOR LIFE A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN VICTORIA ZOMMICK PMHNP-BC (PRESIDENT/PSYCH NURSE PRACTITIONER)
(818) 688-6826
Entity
Organization
Contact information
Practice address
28212 KELLY JOHNSON PKWY STE 215, VALENCIA, CA 91355-5090
(818) 688-6826
(877) 349-4481
Mailing address
28212 KELLY JOHNSON PKWY STE 215, VALENCIA, CA 91355-5090
(818) 688-6826
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
03/11/2024
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