TINA PATRICE JEFFERSON NPI 1720775349

NPI Information

  • NPI: 1720775349
  • Provider Name: TINA PATRICE JEFFERSON
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 801 PA AVE SE
    WASHINGTON, DC
    ZIP 20003
  • Phone: (202) 454-3330

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NPI Details

Tina Patrice Jefferson is a psychiatric/mental health and adult registered nurse in Washington, DC. Tina Patrice Jefferson NPI is 1720775349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 PA AVE SE
WASHINGTON, DC
ZIP 20003-167
Phone: (202) 454-3330
Fax: (202) 683-1155

The enumeration date for this NPI number is 4/24/2023 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN00004307DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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