Provider Demographics
NPI:1003199928
Name:WASHINGTON, FELICIA PATTERSON (DNP-C,FNP-C,PMHNP-C)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:PATTERSON
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DNP-C,FNP-C,PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 ASSOCIATE LN STE B3
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-7842
Mailing Address - Country:US
Mailing Address - Phone:704-893-5022
Mailing Address - Fax:888-326-7703
Practice Address - Street 1:171 ASSOCIATE LN STE B3
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7842
Practice Address - Country:US
Practice Address - Phone:704-893-5022
Practice Address - Fax:888-326-7703
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005294363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily