Healthcare Provider Details

I. General information

NPI: 1154234342
Provider Name (Legal Business Name): EMPOWER WELLNESS CLINIC, A NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W HOSPITALITY LN STE 307
SAN BERNARDINO CA
92408-3265
US

IV. Provider business mailing address

4859 W SLAUSON AVE STE 168
LOS ANGELES CA
90056-1290
US

V. Phone/Fax

Practice location:
  • Phone: 310-981-3161
  • Fax: 310-981-3165
Mailing address:
  • Phone: 310-981-3161
  • Fax: 310-981-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JACQUELINE FINLEY
Title or Position: PRESIDENT/CEO
Credential: FNP-BC, PMHNP-BC
Phone: 310-981-3161