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JACQUELINE IDA FEZZA MD
NPI 1174373104
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since March 25, 2024
2115 WISCONSIN AVE NW STE 200, WASHINGTON, DC 20007(202) 944-5400(855) 771-6849 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Ida Fezza Md NPPES

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

JACQUELINE IDA FEZZA MD (NPI 1174373104) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1174373104
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE IDA FEZZACredential: MD
Location Address2115 WISCONSIN AVE NW STE 200Washington, DC 20007-2265
Mailing Address2115 Wisconsin Ave Nw Ste 200Washington, DC 20007-2265 · (202) 944-5400 · Fax (855) 771-6849
Phone(202) 944-5400
Fax(855) 771-6849
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1174373104 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.

2115 WISCONSIN AVE NW STE 200, Washington, DC 20007
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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.

MICHELLE MYUNGJEE NOH MD
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
BENJAMIN WALSH
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
ALEXANDRIA GOFF MD
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
JOHN MINSUB LIM
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
DANIEL PUSTAY
Psychiatry & Neurology (Psychiatry)
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
ERICA COATES PH.D.
Psychologist
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (660) 429-9226
ALICIA KHAN MD
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400
DR. SARA NICOLE WIERBOWSKI MD
Student in an Organized Health Care Education/Training Program
2115 WISCONSIN AVE NW STE 200
WASHINGTON, DC 20007
District of Columbia (202) 944-5400

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 Jacqueline Fezza's NPI number?

The NPI number for Jacqueline Fezza is 1174373104. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Jacqueline Fezza located?

Jacqueline Fezza practices at 2115 Wisconsin Ave NW Ste 200, Washington, DC 20007. The listed phone number is (202) 944-5400.

What is Jacqueline Fezza'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 Jacqueline Fezza was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.