MEDICARE: DASHAWANA JENKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	3747P1801X	Personal Care Attendant		DC

General Provider Information

NPI Number	:	1083314520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DASHAWANA JENKINS

Provider Business Mailing Address
First Line	:	1338 N CAPITOL ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3396
Country	:	US
Telephone Number	:	202-731-1529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 DENVER ST SE APT 202
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3039
Country	:	US
Telephone Number	:	301-461-3115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	04/21/2025

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Directions to “ DASHAWANA JENKINS ” Practice Location

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