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General NPI Number Information
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NPI Number | 1154234342
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Entity Type | Organization
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Legal Business Name | EMPOWER WELLNESS CLINIC, A NURSING CORPORATION
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 275 W HOSPITALITY LN STE 307
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3265
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Country | US
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Telephone | 310-981-3161
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Fax | 310-981-3165
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Provider Business Mailing Address
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Address Line | 4859 W SLAUSON AVE STE 168
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City | LOS ANGELES
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State | CA
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Zip | 90056-1290
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Country | US
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Telephone | 310-981-3161
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Fax | 310-981-3165
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. JACQUELINE FINLEY
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Credential | FNP-BC, PMHNP-BC
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Telephone | 310-981-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NULL
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