Ms. Ebony Blackmon Humphrey

DNP ARNP PMHNP-BC | Nurse Practitioner

23205 Se Black Nugget Rd, Apt J2, Issaquah
  Washington, 98029-7326
206-701-9363
May or may not accept Medicare Nurse Practitioner in Issaquah, Washington.
Ms. Ebony Blackmon Humphrey is a Issaquah, Washington based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Ms. Ebony Blackmon Humphrey is AP60929540 for Psych/Mental Health NP in Washington. Her current practice location is 23205 Se Black Nugget Rd, Apt J2, Issaquah. Patients can reach her at 206-701-9363. Ms. Ebony Blackmon Humphrey is DNP ARNP PMHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1669904108.
Ms. Ebony Blackmon Humphrey has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Ebony Blackmon Humphrey speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Ebony Blackmon Humphrey
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: DNP ARNP PMHNP-BC
Practice Address:23205 Se Black Nugget Rd, Apt J2, Issaquah,
Washington, 98029-7326
Phone:206-701-9363
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1669904108
NPI Enumeration Date: 03 Apr, 2017
NPI Last Update On: 25 Sep, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Ebony Blackmon Humphrey are as mentioned below.
License NumberSpecializationStateStatus
AP60929540Psych/Mental Health NP WashingtonPrimary
RN60625891Registered Nurse WashingtonSecondary
RN60625891Registered Nurse WashingtonSecondary
RN60625891Registered Nurse WashingtonSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Ebony Blackmon Humphrey
400 Nw Gilman Blvd Unit 2862,
Issaquah, Washington
Zip: 98027-0258
Phone Number: 206-701-9363
Patients can reach Ms. Ebony Blackmon Humphrey at 23205 Se Black Nugget Rd, Apt J2, Issaquah, Washington or can call to book an appointment on 206-701-9363.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.