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

MS. Ebony Blackmon Humphrey, DNPARNPPMHNP-BC

Individual provider Registered Nurse · NPI 1669904108

MS. Ebony Blackmon Humphrey, DNPARNPPMHNP-BC is a Registered Nurse in Issaquah, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

23205 SE Black Nugget Rd Apt J2
Issaquah, WA 98029-7326
Phone: (206) 701-9363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60929540 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60625891 (WA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN60625891 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN60625891 (WA)

Record details

NPI number1669904108
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPARNPPMHNP-BC
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESSeptember 25, 2019

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