Individual
JESSIE KENNEDY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Mailing address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
09/20/2023
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