Tamara Dominique Jackson
Tamara Dominique Jackson is a Community Health Worker in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.
- Licensed in
- DC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2218 Rhode Island Ave NEWashington, DC 20018-2827
Phone: (202) 717-9428
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X · Licence 1023712726 (DC) |
Record details
| NPI number | 1023712726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
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