Individual
JESSICA RUTH TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3517
(202) 476-2490
Mailing address
511 1/2 6TH ST SE, WASHINGTON, DC 20003-2706
(201) 835-3387
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024173380
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1039813
DC
Other
Enumeration date
03/08/2016
Last updated
08/31/2021
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