Healthcare Provider Details

I. General information

NPI: 1619083052
Provider Name (Legal Business Name): COSETTE O JAMIESON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING STREET NW SUITE 2500 NORTH TOWER
WASHINGTON DC
20010
US

IV. Provider business mailing address

106 IRVING STREET NW SUITE 2500 NORTH TOWER
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-5408
  • Fax: 202-722-0505
Mailing address:
  • Phone: 202-877-5408
  • Fax: 202-722-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD19681
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: