Organization
TERICARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE DEXTER (CEO)
(202) 506-0416
Entity
Organization
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE UNIT 100B, WASHINGTON, DC 20019-3622
(202) 506-0416
Mailing address
4645 NANNIE HELEN BURROUGHS AVE NE UNIT 100B, WASHINGTON, DC 20019-3622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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