Blackmon Humphrey, Ebony

Blackmon Humphrey, Ebony is an sole proprietor health care provider with primary practice located at 23205 Se Black Nugget Rd Apt J2, Issaquah WA 98029-7326. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Blackmon Humphrey, Ebony can be contacted via phone (206) 701-9363.

Contact Information

Primary practice address
23205 Se Black Nugget Rd Apt J2 Issaquah WA 98029-7326
Phone: (206) 701-9363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60625891 Washington
Nursing Service Providers / Case Management 163WC0400X RN60625891 Washington
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN60625891 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60929540 Washington

Profile Details

NPI number 1669904108
LBN Legal business name Blackmon Humphrey, Ebony
Credentials DNP ARNP PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Sep 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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