Healthcare Provider Details

I. General information

NPI: 1811631781
Provider Name (Legal Business Name): HALLIE DODD JESTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW DEPT OF EMERGENCY MEDICINE
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING ST NW DEPT OF EMERGENCY MEDICINE
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2424
  • Fax: 202-877-7633
Mailing address:
  • Phone: 202-877-2424
  • Fax: 202-877-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0103639
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD600004135
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: