Provider Demographics
NPI:1104460930
Name:COVINGTON, MERLINE (DNP, PMHNP-BC, FNP)
Entity type:Individual
Prefix:
First Name:MERLINE
Middle Name:
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 4TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-4000
Mailing Address - Country:US
Mailing Address - Phone:530-406-7993
Mailing Address - Fax:
Practice Address - Street 1:901 SUNSET DR STE 4
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5613
Practice Address - Country:US
Practice Address - Phone:831-266-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2025-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2023193280363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health