Individual
MRS. TELISHA D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
732 N CAPITOL ST NW # C-509, WASHINGTON, DC 20401-0002
(202) 512-2061
Mailing address
732 N CAPITOL ST NW # C-509, WASHINGTON, DC 20401-0002
(202) 512-2061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R139342
MD
363LF0000X
Family Nurse Practitioner
Primary
RN67817
DC
Other
Enumeration date
09/04/2007
Last updated
02/19/2025
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