MEDICARE: DISTRICT WELLNESS SERVICES

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	363LC1500X	Community Health Nurse Practitioner

General Provider Information

NPI Number	:	1427891811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	4523 ALABAMA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4912
Country	:	US
Telephone Number	:	202-255-2574
Fax Number	:

Provider Business Practice Location Address
First Line	:	4523 ALABAMA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4912
Country	:	US
Telephone Number	:	202-255-2574
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	LYNNJULIE AUGUSTINE NKWABA
Credential	:
Telephone Number	:	202-498-8094

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	03/13/2026

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Directions to “DISTRICT WELLNESS SERVICES ” Practice Location

Language	Start Address	Practice Location

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