SearchDistrict of Columbia104100000X

Kiara Jackson

NPI 1205729050 · on the registry since 2025

Practice

Address
1049 48th Pl Ne
Washington, DC 20019
Phone
(202) 706-0740

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Licence states on file
MD, DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia