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Individual

TINA PATRICE JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 PA AVE SE, WASHINGTON, DC 20003-2167
(202) 454-3330
(202) 683-1155
Mailing address
801 PA AVE SE, WASHINGTON, DC 20003-2167
(202) 454-3330

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN00004307
DC

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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