Provider Demographics
NPI:1245111277
Name:WASHINGTON, QUINCY (BSN, RN, FNP-STUDENT)
Entity type:Individual
Prefix:
First Name:QUINCY
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:BSN, RN, FNP-STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5303
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-0303
Mailing Address - Country:US
Mailing Address - Phone:301-693-3047
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 5303
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-0303
Practice Address - Country:US
Practice Address - Phone:301-693-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR246538163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse