MEDICARE: SUNDAYRESETDC PLLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1932072691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNDAYRESETDC PLLC

Provider Business Mailing Address
First Line	:	1763 COLUMBIA RD NW STE 175
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2891
Country	:	US
Telephone Number	:	571-265-6624
Fax Number	:

Provider Business Practice Location Address
First Line	:	1763 COLUMBIA RD NW STE 175
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2891
Country	:	US
Telephone Number	:	571-265-6624
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	JILLIAN MARIANOS
Credential	:	FNP-BC
Telephone Number	:	571-265-6624

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	09/27/2025

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