Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTUS MBOGO, PMHNP
Active Sole ProprietorJUSTUS MBOGO, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in UNIVERSITY PLACE, Washington. NPI 1871443945 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · UNIVERSITY PLACE, WA
Registration Details
- NPI Number
- 1871443945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2026 (0.553931566323 yrs)
- Last Updated
- Jan 29, 2026
- License
-
AP70065404 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4007 BRIDGEPORT WAY W STE BUNIVERSITY PLACE, WA, 984664330Browse WA providers · Browse ZIP 98466
- Phone
- 9723698869
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in UNIVERSITY PLACE, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. GLEE LYON | ARNP | 1184621831 |
| DR. BARBARA RIX | DNP | 1962598441 |
| MR. JACK LOGAN KEITH JR. | PMHNP | 1982968210 |
| MRS. VICKI LYNN GRIMES | ARNP | 1548710551 |
| LAURA WALKER | DNP, PMHNP | 1548863012 |
| LISA MARIE KOYKAR | APRN | 1659948396 |
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.