Doctor Name: | MRS. LA'TISHA WASHINGTON |
NPI Number: | 1083016331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 3008861 |
Business Practice Address: | 2015 Aster Dr Jeffersonville, IN - 471304913 |
Business Phone Number: | 5022967408 |
Business Fax Number: | |
Mailing Address: | 2015 Aster Dr, JEFFERSONVILLE |
State: | IN |
Postal Code: | 471304913 |
Phone Number: | 5022967408 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |