Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5005294 | NC |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5005294 | NC |
NPI | 1003199928 |
---|---|
Provider Name | Felicia Patterson Washington |
First Address | Indian Trail, NC 28079-5764 |
Second Address | Winston Salem, NC 27103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 08/09/2021 |