Individual provider · Type 1 NPI

Jessica Ruth Travis, CPNP

Pediatric Nurse Practitioner · Washington, DC

NPI number 1417318155 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Call (202) 476-3517 Map

Fax (202) 476-2490

Mailing address

511 1/2 6th St SE
Washington, DC 20003-2706

Other practice locations

  • 110 Soaring Eagle Dr, Stafford, VA 22556-3903 · (540) 720-2126

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X0024173380 (VA)
Pediatric Nurse Practitioner Primary 363LP0200XRN1039813 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417318155

Jessica Ruth Travis, CPNP's National Provider Identifier is 1417318155, issued on Mar 8, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Aug 31, 2021.