Individual provider · Type 1 NPI
Jeremy Tyson Bang, RN, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Kent, WA
NPI number
1114654225
Active
Practice location
505 Washington Ave S
Kent, WA 98032-5709
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Other practice locations
- 1701 18th Ave S, Seattle, WA 98144-4317 · (253) 833-7444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | ARNP.AP.61330216-NP (WA) |
| Registered Nurse | 163W00000X | RN.RN.60968949 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114654225
Jeremy Tyson Bang, RN, DNP, PMHNP-BC's National Provider Identifier is 1114654225, issued on Aug 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kent, WA. The record was last updated on Jul 28, 2026.