Individual provider · Type 1 NPI

Etienne Clement Poufong, NP

Psychiatric/Mental Health Nurse Practitioner · Mountlake Terrace, WA

NPI number 1023626959 Active

Practice location

1001 - Mountlake Terrace
Mountlake Terrace, WA 98043-7510

Call (469) 321-9543 Map

Mailing address

708 Clement Dr
Cedar Hill, TX 75104-7352

Other practice locations

  • 2800 E Broad St Ste 400, Mansfield, TX 76063-6414 · (469) 321-9543
  • 700 Milam St Ste 1300, Houston, TX 77002-2736 · (469) 321-9543
  • 708 Clement Dr, Cedar Hill, TX 75104-7510 · (469) 321-9543

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP146155 (TX)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61426687 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Other psychiatric/mental health nurse practitioner providers in Mountlake Terrace

See all in Mountlake Terrace →

About NPI 1023626959

Etienne Clement Poufong, NP's National Provider Identifier is 1023626959, issued on Jul 16, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mountlake Terrace, WA. The record was last updated on Jun 25, 2023.