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General NPI Number Information
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NPI Number | 1598687444
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Entity Type | Organization
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Legal Business Name | NORTHLIGHT WELLNESS, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 360-620-4435
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Fax | 707-901-1344
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Provider Business Mailing Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 360-620-4435
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Fax | 707-901-1344
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | JORDAN STEPHENS
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Credential | FNP-BC, PMHNP-BC
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Telephone | 360-620-4435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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