Individual provider · Type 1 NPI

Justus Mbogo, PMHNP

Psychiatric/Mental Health Nurse Practitioner · University Place, WA

NPI number 1871443945 Active

Practice location

4007 Bridgeport Way W Ste B
University Place, WA 98466-4330

Call (972) 369-8869 Map

Mailing address

812 W Mcdermott Dr # 1004
Allen, TX 75013-6500

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP70065404 (WA)

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

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About NPI 1871443945

Justus Mbogo, PMHNP's National Provider Identifier is 1871443945, issued on Jan 29, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in University Place, WA. The record was last updated on Jan 29, 2026.