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JESSICA FORMAN
NPI 1053165050
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since April 16, 2024
4200 WISCONSIN AVE NW STE 4, WASHINGTON, DC 20016(202) 243-3400(877) 680-5502 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Forman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA FORMAN (NPI 1053165050) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1053165050
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA FORMAN
Location Address4200 WISCONSIN AVE NW STE 4Washington, DC 20016-2143
Mailing Address4200 Wisconsin Ave Nw Ste 4Washington, DC 20016-2143 · (202) 243-3400 · Fax (877) 680-5502
Phone(202) 243-3400
Fax(877) 680-5502
Sole ProprietorNo
Enumeration DateApril 16, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1053165050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4200 WISCONSIN AVE NW STE 4, Washington, DC 20016
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANI ERICKSON MD
Obstetrics & Gynecology
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 295-0544
THUY NGUYEN M.D.
Psychiatry & Neurology (Epilepsy)
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. CHARALAMPOS MYSTAKELIS MD
Pediatrics
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
CLEOPHINA C RAYMOND MD
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
AMY BRENNER CORSO NP
Nurse Practitioner (Pediatrics)
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
GARGI SURESH KAKANI MBBS, MPH
Pediatrics
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
KARLEIGH MARIE MEZEIVTCH
Pediatrics
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. SARAH R MAGAZINER MD
Pediatrics
4200 WISCONSIN AVE NW STE 4
WASHINGTON, DC 20016
District of Columbia (202) 243-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Forman's NPI number?

The NPI number for Jessica Forman is 1053165050. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Jessica Forman located?

Jessica Forman practices at 4200 Wisconsin Ave NW Ste 4, Washington, DC 20016. The listed phone number is (202) 243-3400.

What is Jessica Forman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Forman was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.