Organization
DC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARD JACKSON FNP (OWNER/FAMILY NURSE PRACTITIONER)
(202) 568-6579
Entity
Organization
Contact information
Practice address
4822 41ST ST NW, WASHINGTON, DC 20016-1708
(202) 568-6579
Mailing address
4822 41ST ST NW, WASHINGTON, DC 20016-1708
(910) 384-5664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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