Individual
MR. NAIKE CHRISTELLE JACQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
120 PARAMOUNT PARK DR APT 213, GAITHERSBURG, MD 20879-3579
(240) 463-6118
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1026544
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1026544
DC BOARD OF NURSING
DC
Enumeration date
10/03/2017
Last updated
10/03/2017
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