Individual provider · Type 1 NPI

Vincent Lamarr Powell Jr., FNP

Nurse Practitioner · Livingston, CA

NPI number 1063633758 Active

Practice location

2275 F St Ste 1&2
Livingston, CA 95334-1778

Fax (209) 394-8895

Mailing address

PO Box 210
Ripon, CA 95366-0210

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705XRN281973 (OH)
Nurse Practitioner Primary 363L00000X95003522 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063633758

Vincent Lamarr Powell Jr., FNP's National Provider Identifier is 1063633758, issued on May 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Livingston, CA. The record was last updated on Mar 28, 2016.