Healthcare Provider Details

I. General information

NPI: 1770496838
Provider Name (Legal Business Name): DEBORAH DENISE WASHINGTON RN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2339 TIMBER DR STE 200
GARNER NC
27529-2518
US

IV. Provider business mailing address

2339 TIMBER DR STE 200
GARNER NC
27529-2518
US

V. Phone/Fax

Practice location:
  • Phone: 919-322-0873
  • Fax: 919-322-5977
Mailing address:
  • Phone: 919-322-0873
  • Fax: 919-322-5977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number129205
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number129205
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number129205
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: