Organization · Type 2 NPI

Premier Wellness Professional Nursing Corporation

Adult Mental Health Clinic/Center · Oakland, CA

NPI number 1366322265 Active

Practice location

2648 International Blvd Ste 153A
Oakland, CA 94601-1580

Fax (972) 845-8004

Mailing address

2648 International Blvd Ste 301, PMB1120
Oakland, CA 94601-1580

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1366322265

Premier Wellness Professional Nursing Corporation's National Provider Identifier is 1366322265, issued on Sep 3, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Oakland, CA. The record was last updated on Oct 14, 2026.