Individual
MIKKIA JOYE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1048795
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61429372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2250643
—
WA
Enumeration date
08/07/2021
Last updated
10/02/2025
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