Kelly M. Knickerbocker, MSN ARNP PMHNP
Psychiatric-Mental Health NP · Lake Forest Park, WA
UnclaimedMSN ARNP PMHNPNPI 1427304138
- Primary taxonomy
- 363LP0808X
- Enumerated
- 2012-07-31
- Practice location
- Lake Forest Park, WA
- Last NPPES update
- 2026-01-30
State licenses
- WA · Nurse practitioner · NPPES self-reportedListed on NPI record
- WA · Nurse practitioner · Advanced Registered Nurse Practitioner Temporary Practice PermitExpiredthrough 2014
- WA · Nurse practitioner · Advanced Registered Nurse Practitioner LicenseActivethrough 2028
- WA · Registered nurse · Registered Nurse LicenseActivethrough 2027
- WA · Registered nurse · Registered Nurse Temporary Practice PermitExpiredthrough 2014
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.