Individual provider · Type 1 NPI
Taneisha Jacson, FNP-BC
Family Nurse Practitioner · Washington, DC
NPI number
1740505783
Active
Practice location
4660 Martin Luther King Jr Ave SW Ste A3
Washington, DC 20032-4958
Mailing address
5023 36th Pl
Hyattsville, MD 20782-3909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN1003671 (DC) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1740505783
Taneisha Jacson, FNP-BC's National Provider Identifier is 1740505783, issued on Apr 1, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Washington, DC. The record was last updated on Apr 1, 2010.