Individual provider · Type 1 NPI
Regina Imari Washington, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Orange Park, FL
NPI number
1083816946
Active
Practice location
1532 Kingsley Ave Ste 101
Orange Park, FL 32073-4526
Fax (833) 673-0308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | ARNP9327002 (FL) |
| Gerontology Nurse Practitioner | 363LG0600X | F3405331 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1083816946
Regina Imari Washington, NURSE PRACTITIONER's National Provider Identifier is 1083816946, issued on Jun 4, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orange Park, FL. The record was last updated on Sep 11, 2026.