Healthcare Provider Details

I. General information

NPI: 1477321644
Provider Name (Legal Business Name): SYLVIE G DJOUMESSI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ELLIOTT AVE W STE 500
SEATTLE WA
98119-4292
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE 5391
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 425-678-6463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1143503
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61519135
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: