NPI Code Details Logo

NPI 1063143030

NPI 1063143030 : JENNIFER LOUISE LANOFF : WASHINGTON, DC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063143030
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JENNIFER LOUISE LANOFF
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/21/2022
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5225 WISCONSIN AVE NW STE 513 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20015-2024
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    771-210-4164
-----------------------------------------------------
    Fax                  |    771-210-4164
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5225 WISCONSIN AVE NW STE 513 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20015-2024
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    771-210-4164
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LW0102X
-----------------------------------------------------
    Taxonomy Name        |    Women's Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    0024184504
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LW0102X
-----------------------------------------------------
    Taxonomy Name        |    Women's Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    NP1059395
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LW0102X
-----------------------------------------------------
    Taxonomy Name        |    Women's Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    R248682
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.