Individual
MRS. JENNIFER LYNNE NOWACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-5000
Mailing address
3883 CONNECTICUT AVE NW APT 518, WASHINGTON, DC 20008-4576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002509
VA
363A00000X
Physician Assistant
Primary
PA030429
DC
Other
Enumeration date
08/13/2006
Last updated
03/12/2010
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