SearchDistrict of Columbia3747P1801X

Tisha Jackson

NPI 1710519293 · on the registry since 2020

Practice

Address
3720 S St Nw
Washington, DC 20007
Phone
(202) 749-5053

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-12

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