Individual
MRS. LISA JESAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW # MAIN4412, WASHINGTON, WASHINGTON, DC 20007-2113
(202) 444-2062
Mailing address
308 S ABINGDON ST, ARLINGTON, ARLINGTON, VA 22204-1335
(571) 331-3235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN66952
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037747100
—
DC
05
—
410337800
—
DC
Enumeration date
04/14/2006
Last updated
02/02/2016
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