Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Etienne Clement Poufong, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023626959

Mr. Etienne Clement Poufong, NP is a Nurse Practitioner in Mountlake Terrace, Washington. Qualified in 2020, 6 years ago. Practices with Hawkins Psychiatry PC, a 6-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas and Washington.

Years since qualifying
6
Licensed in
TX, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1001 - Mountlake Ter
Mountlake Terrace, WA 98043-7510
Phone: (469) 321-9543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 708 Clement Dr, Cedar Hill, TX 75104-7510 — (469) 321-9543
  • 700 Milam St Ste 1300, Houston, TX 77002-2736 — (469) 321-9543
  • 2800 E Broad St Ste 400, Mansfield, TX 76063-6414 — (469) 321-9543

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61426687 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP146155 (TX)

Record details

NPI number1023626959
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 16, 2020
Last updated in NPPESJune 25, 2023
Certification dateJune 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hawkins Psychiatry Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mountlake Terrace