Individual provider · Type 1 NPI
Justline Tah
Adult Psychiatric/Mental Health Registered Nurse · Washington, DC
NPI number
1114463346
Active
Practice location
4017 Minnesota Ave NE
Washington, DC 20019-3541
Fax (202) 388-4339
Mailing address
660 Streford Way, Unit 210
Hyattsville, MD 20785-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 500018807 (DC) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1114463346
Justline Tah's National Provider Identifier is 1114463346, issued on Jan 11, 2017. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Washington, DC. The record was last updated on May 7, 2025.