MEDICARE: JAMES THOMAS DE MARCO DNP, APRN, PMHNP-BC

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	163W00000X	Registered Nurse	RN1044683	DC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP1044683	DC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024194363	VA
4	163W00000X	Registered Nurse	0001248797	VA

General Provider Information

NPI Number	:	1104709229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES THOMAS DE MARCO DNP, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	801 N QUINCY ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N QUINCY ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1999
Country	:	US
Telephone Number	:	703-782-4793
Fax Number	:

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	03/02/2026

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