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NPI 1720775349 · live from the CMS NPI Registry

Tina Patrice Jefferson

Registered Nurse, Psych/Mental Health, Adult in Washington, DC. National Provider Identifier 1720775349, active.

NPI record

NPI1720775349 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Psych/Mental Health, Adult 163WP0809X
Practice location801 PA Ave Se, Washington, DC 20003
Practice phone202-454-3330
EnumeratedApril 24, 2023
Last updatedApril 24, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Psych/Mental Health, Adult primary163WP0809XRN00004307 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.