Healthcare Provider Details

I. General information

NPI: 1659305365
Provider Name (Legal Business Name): SHERRY RUTH VOKOUN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SOUTH KITSAP BLVD SUITE 2300 KITSAP CHILDRENS CLINIC LLP
PORT ORCHARD WA
98366
US

IV. Provider business mailing address

3014 VIEWCREST DR NE
BREMERTON WA
98310
US

V. Phone/Fax

Practice location:
  • Phone: 360-692-9362
  • Fax: 360-692-6214
Mailing address:
  • Phone: 360-479-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN00057499
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP30002478
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: