Healthcare Provider Details

I. General information

NPI: 1528023249
Provider Name (Legal Business Name): JENNIFER MARY LEE GERHARD DO, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER MARY LEE DO, MPH

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 F ST NW STE 3300
WASHINGTON DC
20001-1565
US

IV. Provider business mailing address

50 F ST NW STE 3300
WASHINGTON DC
20001-1565
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-8300
  • Fax:
Mailing address:
  • Phone: 22-244-8300
  • Fax: 202-244-1413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102201793
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0102201793
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberDO034517
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: