Healthcare Provider Details

I. General information

NPI: 1740184175
Provider Name (Legal Business Name): ALEXIS C JOYNES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 1ST AVE STE 102-2416
SEATTLE WA
98104-2210
US

IV. Provider business mailing address

600 1ST AVE STE 102 #2416
SEATTLE WA
98104-2287
US

V. Phone/Fax

Practice location:
  • Phone: 425-699-8634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70184634-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: