Healthcare Provider Details

I. General information

NPI: 1124736368
Provider Name (Legal Business Name): APRIL JEWEL HEBRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 RHODE ISLAND AVE NW
WASHINGTON DC
20001-4153
US

IV. Provider business mailing address

2301 25TH ST S APT 204
ARLINGTON VA
22206-2896
US

V. Phone/Fax

Practice location:
  • Phone: 202-232-6100
  • Fax: 202-483-4560
Mailing address:
  • Phone: 856-938-9814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024185317
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: