Kerry Washington, RNC
Registered Nurse, Psych/Mental Health, Child & Adolescent in Stockton, CA. Individual provider (NPI-1).
NPI number1689391997
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1689391997
- Entity type
- Individual (NPI-1)
- Name
- Kerry Washington
- Credential
- RNC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2022
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 559310 | CA | Yes |
| 163W00000X | Registered Nurse | 559310 | CA |
Practice location
1414 N California StStockton, CA 95202-1515
Phone 209-468-2385
Mailing address
1414 N California St Fl 2Stockton, CA 95202-1515
Phone 209-468-2385
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