Jackson, Tamara Dominique

Jackson, Tamara Dominique is an sole proprietor health care provider with primary practice located at 2218 Rhode Island Ave Ne , Washington DC 20018-2827. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Tamara Dominique can be contacted via phone (202) 717-9428.

Contact Information

Primary practice address
2218 Rhode Island Ave Ne Washington DC 20018-2827
Phone: (202) 717-9428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 1023712726 District of Columbia
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1023712726
LBN Legal business name Jackson, Tamara Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2023
Last updated Jun 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers