Provider Demographics
NPI:1275126765
Name:WASHINGTON, ARNOLD MOURICE JR (FNP, RN)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:MOURICE
Last Name:WASHINGTON
Suffix:JR
Gender:M
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 POWDER RIV APT B
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5369
Mailing Address - Country:US
Mailing Address - Phone:254-258-8946
Mailing Address - Fax:
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-2565
Practice Address - Country:US
Practice Address - Phone:254-220-4117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily