Individual
JILL FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-BC
Contact information
Practice address
3800 RESERVOIR RD NW, 2-PHC, WASHINGTON, DC 20007-2113
(202) 444-8849
(301) 306-8583
Mailing address
3800 RESERVOIR RD NW, 2-PHC, WASHINGTON, DC 20007-2113
(202) 444-8849
(301) 306-8583
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1037092
DC
Other
Enumeration date
03/09/2015
Last updated
04/17/2015
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