NPI 1003509902
Tara Monique Jackson
Practice location
- Address
- 920 Bellevue St SE, Washington, DC 20032-6030
- Phone
- (202) 562-4939
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003509902
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 May 2023
- Record last updated
- 29 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.