NPI 1619060720 · live from the CMS NPI Registry
Jennie R.D. Austin, RN, MSN, CPNP
Nurse Practitioner, Pediatrics in Washington, DC. National Provider Identifier 1619060720, active.
NPI record
| NPI | 1619060720 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | Walter Reed Army Medical Ctr, Dept Peds, Edis, Building 41, 6900 Georgia Ave, Nw, Washington, DC 20307 |
| Practice phone | 202-782-4184 |
| Mailing address | 4525 S Chelsea Ln, Bethesda, MD 20814 |
| Enumerated | October 2, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN35367 (DC) |
| Nurse Practitioner, Pediatrics | 363LP0200X | RO92724 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.