Provider Demographics
NPI:1700432473
Name:WASHINGTON, FELECIA LASHONE (DNP, MBA, MSN, APRN)
Entity type:Individual
Prefix:DR
First Name:FELECIA
Middle Name:LASHONE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DNP, MBA, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3859 E SOUTHCROSS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3531
Mailing Address - Country:US
Mailing Address - Phone:210-874-1800
Mailing Address - Fax:219-874-1788
Practice Address - Street 1:3859 E SOUTHCROSS BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3531
Practice Address - Country:US
Practice Address - Phone:210-874-1800
Practice Address - Fax:210-874-1788
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-17
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140470364S00000X, 364SC1501X, 364SC2300X, 364SG0600X, 364SL0600X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public HealthGroup - Multi-Specialty
No364SC2300XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistChronic Care
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care