MEDICARE: DR. JESSICA NAN PIXLEY MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1164124129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA NAN PIXLEY MD

Provider Business Mailing Address
First Line	:	5530 WISCONSIN AVE STE 660
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-4464
Country	:	US
Telephone Number	:	703-831-7503
Fax Number	:	805-998-3762

Provider Business Practice Location Address
First Line	:	5530 WISCONSIN AVE STE 660
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-4464
Country	:	US
Telephone Number	:	703-831-7503
Fax Number	:	805-998-3762

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	01/21/2026

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