MEDICARE: MRS. JEAN CROWELL

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	163WH0200X	DC

General Provider Information

NPI Number	:	1972468775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JEAN CROWELL

Provider Business Mailing Address
First Line	:	1721 T ST SE APT 206
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-4739
Country	:	US
Telephone Number	:	202-709-2253
Fax Number	:	202-709-2253

Provider Business Practice Location Address
First Line	:	1836 CAPITOL AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-1760
Country	:	US
Telephone Number	:	202-709-2253
Fax Number	:

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	02/23/2026

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