Individual
JENNIE R.D. AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
WALTER REED ARMY MEDICAL CTR, DEPT PEDS, EDIS, BUILDING 41, 6900 GEORGIA AVE, NW, WASHINGTON, DC 20307-0001
(202) 782-4184
(202) 782-5387
Mailing address
4525 S CHELSEA LN, BETHESDA, MD 20814-4758
(202) 782-4184
(202) 782-5387
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN35367
DC
363LP0200X
Pediatric Nurse Practitioner
RO92724
MD
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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