Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EBONY BLACKMON HUMPHREY, DNP ARNP PMHNP-BC
Active Sole ProprietorMS. EBONY BLACKMON HUMPHREY, DNP ARNP PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ISSAQUAH, Washington. NPI 1669904108 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ISSAQUAH, WA
Registration Details
- NPI Number
- 1669904108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2017 (9.4104431546816 yrs)
- Last Updated
- Sep 25, 2019
- Licenses
-
RN60625891 (WA)RN60625891 (WA)RN60625891 (WA)AP60929540 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23205 SE BLACK NUGGET RDAPT J2ISSAQUAH, WA, 980297326Browse WA providers · Browse ZIP 98029
- Phone
- 2067019363
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Case Management Nurse
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in ISSAQUAH, WA
| Name | Credential | NPI |
|---|---|---|
| MS. AUDREY JEAN CHURCH | ARNP | 1972683571 |
| DONALD R RASMUSSEN | ARNP | 1417000118 |
| SASKIA E VONMICHALOFSKI | ARNP | 1467624049 |
| JULIE A LESKO | APRN | 1871820985 |
| KATHRYN ANN SWARTZ | ARNP | 1518294560 |
| JENNIE BROWN | DNP, ARNP | 1427458660 |
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.