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1740505783
TANEISHA JACSON
WASHINGTON, DC
NPI
1740505783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: DC RN1003671)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
Mrs. TANEISHA JACSON FNP-BC
4660 MARTIN LUTHER KING JR AVE SW STE A3
WASHINGTON, DC 20032-4958
Phone number: 202-558-4681
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Mailing Address
Mrs. TANEISHA JACSON FNP-BC
5023 36TH PL
HYATTSVILLE, MD 20782-3909
Phone number: 240-441-8441
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