Healthcare Provider Details

I. General information

NPI: 1821976366
Provider Name (Legal Business Name): KATHLEEN ESTHER CURRY PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLEEN ESTHER CURRY

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39210 STATE ST
FREMONT CA
94538-1456
US

IV. Provider business mailing address

123 ASHFORD PARK
MACON GA
31210-8011
US

V. Phone/Fax

Practice location:
  • Phone: 510-451-2000
  • Fax: 510-447-4808
Mailing address:
  • Phone: 478-318-6886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035341
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: