Healthcare Provider Details

I. General information

NPI: 1306292826
Provider Name (Legal Business Name): ANNA JAMESON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA KUHNEN RN

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 14TH ST NW
WASHINGTON DC
20005-3706
US

IV. Provider business mailing address

1525 14TH ST NW
WASHINGTON DC
20005-3706
US

V. Phone/Fax

Practice location:
  • Phone: 202-797-3535
  • Fax:
Mailing address:
  • Phone: 202-797-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN1039575
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: