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Ebony Blackmon Humphrey, DNP ARNP PMHNP-BC

NPI 1669904108 · on the registry since 2017 · sole proprietor

Practice

Address
23205 Se Black Nugget Rd
Apt J2
Issaquah, WA 98029
Phone
(206) 701-9363
Organisation at this address
Caritas Critical Case Management, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 6100 Ne Fourth Plain Blvd, Vancouver, WA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163W00000X
163WC0400X
163WP0808X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington