Healthcare Provider Details

I. General information

NPI: 1568170124
Provider Name (Legal Business Name): EVA WAHU NJOROGE JONES DNP-PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 112TH AVE NE
BELLEVUE WA
98004-2951
US

IV. Provider business mailing address

2200 112TH AVE NE STE 100
BELLEVUE WA
98004-2951
US

V. Phone/Fax

Practice location:
  • Phone: 425-905-7777
  • Fax:
Mailing address:
  • Phone: 425-326-0179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70019469
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60455038
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: