Healthcare Provider Details

I. General information

NPI: 1730013343
Provider Name (Legal Business Name): GABRIELLE DEYSHAWN BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 S CAPITOL ST SE APT 103
WASHINGTON DC
20032-1342
US

IV. Provider business mailing address

4200 S CAPITOL ST SE APT 103
WASHINGTON DC
20032-1342
US

V. Phone/Fax

Practice location:
  • Phone: 202-415-1138
  • Fax:
Mailing address:
  • Phone: 202-415-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: