MS. EBONY BLACKMON HUMPHREY, DNP ARNP PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1669904108

Practice Address

23205 SE BLACK NUGGET RD
APT J2
Issaquah, WA 98029

Phone: (206) 701-9363

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN60625891 (WA)
Registered Nurse - Case Management 163WC0400X No RN60625891 (WA)
Registered Nurse - Psychiatric/Mental Health 163WP0808X No RN60625891 (WA)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes AP60929540 (WA)

Frequently Asked Questions

NPI 1669904108 is the National Provider Identifier for MS. EBONY BLACKMON HUMPHREY, DNP ARNP PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Issaquah, WA. This NPI was enumerated on April 3, 2017.
MS. EBONY BLACKMON HUMPHREY, DNP ARNP PMHNP-BC practices at 23205 SE BLACK NUGGET RD, APT J2, Issaquah, WA 98029.

Quick Facts

NPI
1669904108
Type
Individual
Enumerated
Apr 3, 2017
Last Updated
Sep 25, 2019

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