Bonney Lake Psychiatry LLC
NPI #1467313858 in Bothell, Washington
Provider Information
- NPI Number
- 1467313858
- Entity Type
- Organization
- Organization Name
- Bonney Lake Psychiatry LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 24, 2025
- Last Updated
- Nov 24, 2025
Practice Location
- Address
- 10634 E RIVERSIDE DR STE 130
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-3758
- Phone
- (503) 512-0840
Authorized Official
- Name
- JESSICA NORMAN, PMHNP
- Title
- PSYCHIATRIC NURSE PRACTITIONER
- Phone
- (808) 209-1455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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