MEDICARE: FELISHA JONES-DENNIS

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	:	1366277469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELISHA JONES-DENNIS

Provider Business Mailing Address
First Line	:	4357 BENNING RD NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4554
Country	:	US
Telephone Number	:	202-276-1663
Fax Number	:

Provider Business Practice Location Address
First Line	:	4357 BENNING RD NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4554
Country	:	US
Telephone Number	:	202-276-1663
Fax Number	:

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

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	09/06/2024

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Directions to “ FELISHA JONES-DENNIS ” Practice Location

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