Individual
JENNIFER WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 506-1209
Mailing address
6323 GEORGIA AVE NW STE 106, WASHINGTON, DC 20011-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN45943
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025351100
—
DC
Enumeration date
12/28/2017
Last updated
12/28/2017
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