Wellformed AI

NPI 1548134604 · live from the CMS NPI Registry

Jessica Amigo, MSN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Tacoma, WA. National Provider Identifier 1548134604, active.

NPI record

NPI1548134604 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location748 Market St # 67, Tacoma, WA 98402
Practice phone206-929-4410
EnumeratedOctober 1, 2025
Last updatedOctober 22, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Psych/Mental Health primary363LP0808XAP70045141 (WA)
Psychiatry & Neurology, Psychiatry2084P0800XL80011116 (DE)
Psychiatry & Neurology, Psychiatry2084P0800X86734 (NM)
Nurse Practitioner, Psych/Mental Health363LP0808X11042002 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.