Renee Jackson

Individual provider Active NPI Personal Care Attendant · Washington, DC

NPI 1639010044 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1639010044
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
303 50TH St SE Unit B
Washington, DC 20019-7632
Phone
(202) 380-6643
NPI assigned
Apr 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X DC Yes

Addresses

Primary practice location

303 50TH St SE Unit B
Washington, DC 20019-7632

Mailing address

303 50TH St SE Unit B
Washington, DC 20019-7632

Other providers in Washington, DC

All providers in Washington, DC · Personal Care Attendant in District of Columbia

Sources for this page

Verify at the official NPI Registry.