MEDICARE: TARA JERNIGAN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1245199868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA JERNIGAN

Provider Business Mailing Address
First Line	:	1304 SARATOGA AVE NE APT 3
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 SARATOGA AVE NE APT 3
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1963
Country	:	US
Telephone Number	:	202-590-1652
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1306770268 — MALIK HALEY
Practice Location Address:

4335 POLK ST NE
WASHINGTON, DC
20019-1963

Practice Phone: 202-316-5002
Practice Fax:

1427310929 — ISAIAH HAWKINS HHA
Practice Location Address:

4321 POLK ST NE
WASHINGTON, DC
20019-1963

Practice Phone: 202-545-0935
Practice Fax:

1982439352 — MARK MARCELLUS BOOKER
Practice Location Address:

10095 WASHINGTON BLVD N APT 529
LAUREL, MD
20723-1963

Practice Phone: 202-993-6995
Practice Fax:

1821776725 — AKEEM TIJANI
Practice Location Address:

3005 BLADENSBURG RD NE
WASHINGTON, DC
20018-2265

Practice Phone: 202-635-2320
Practice Fax:

1083548606 — NTSHIMA KITENGE
Practice Location Address:

2508 PATRICIA ROBERTS HARRIS PL NE
WASHINGTON, DC
20018-1633

Practice Phone: 202-368-1724
Practice Fax:

1578497160 — ALEWUYA SHAFI
Practice Location Address:

1001 BRYANT ST NE
WASHINGTON, DC
20018-1067

Practice Phone: 202-743-8871
Practice Fax:

Directions to “ TARA JERNIGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.