Healthcare Provider Details

I. General information

NPI: 1144619099
Provider Name (Legal Business Name): GEMY GEORGE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 4TH AVE NE
SEATTLE WA
98115-2143
US

IV. Provider business mailing address

2005 146TH PL SE
BELLEVUE WA
98007
US

V. Phone/Fax

Practice location:
  • Phone: 800-287-2680
  • Fax: 877-516-8135
Mailing address:
  • Phone: 425-586-0941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60502435
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: