Individual provider · Type 1 NPI

Ebony Blackmon Humphrey, DNP ARNP PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Issaquah, WA

NPI number 1669904108 Active

Practice location

23205 SE Black Nugget Rd, Apt J2
Issaquah, WA 98029-7326

Call (206) 701-9363 Map

Mailing address

400 NW Gilman Blvd Unit 2862
Issaquah, WA 98027-0258

Other practice locations

  • 6100 NE Fourth Plain Blvd, Vancouver, WA 98661-6830 · (360) 947-2550

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP60929540 (WA)
Registered Nurse 163W00000XRN60625891 (WA)
Case Management Registered Nurse 163WC0400XRN60625891 (WA)
Psychiatric/Mental Health Registered Nurse 163WP0808XRN60625891 (WA)

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

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About NPI 1669904108

Ebony Blackmon Humphrey, DNP ARNP PMHNP-BC's National Provider Identifier is 1669904108, issued on Apr 3, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Issaquah, WA. The record was last updated on Aug 10, 2026.