Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KACIE LAUREN BLACKWELL BERRY, NP
Active Sole ProprietorMRS. KACIE LAUREN BLACKWELL BERRY, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ROGUE RIVER, Oregon. NPI 1225675218 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ROGUE RIVER, OR
Registration Details
- NPI Number
- 1225675218
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2019 (6.6510339418349 yrs)
- Last Updated
- Jan 17, 2025
- License
-
10030427 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
213 E MAIN STROGUE RIVER, OR, 975379100Browse OR providers · Browse ZIP 97537
- Phone
- 5417145610
- Fax
- 5417145611
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.