Jeannete Brown

Individual provider Active NPI Nurse's Aide · Washington, DC

NPI 1780144964 · NPPES record last updated Mar 22, 2019

Key facts

NPI
1780144964
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NA0000811066 (DC)
Practice address
3439 23Rd St SE
Washington, DC 20020-1921
Phone
(703) 956-0074
NPI assigned
Mar 22, 2019
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

State licenses

LicenseStateTypeSpecialty
NA0000811066DCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0000811066 DC Yes

Addresses

Primary practice location

3439 23Rd St SE
Washington, DC 20020-1921

Mailing address

3439 23Rd St SE
Washington, DC 20020-1921

Other providers in Washington, DC

All providers in Washington, DC · Nurse's Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.