MRS. TANEISHA JACSON FNP-BC
NPI 1740505783
Nurse Practitioner - Family in Washington, DC

Q: What is Taneisha Jacson's NPI number?

The NPI number for Taneisha Jacson is 1740505783. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Q: What is Taneisha Jacson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Taneisha Jacson was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 01, 2010

4660 MARTIN LUTHER KING JR AVE SW STE A3, WASHINGTON, DC 20032(202) 558-4681 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Taneisha Jacson Fnp-bc NPPES

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

MRS. TANEISHA JACSON FNP-BC (NPI 1740505783) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1003671) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1740505783

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TANEISHA JACSONCredential: FNP-BC

Location Address4660 MARTIN LUTHER KING JR AVE SW STE A3Washington, DC 20032-4958

Mailing Address5023 36th PlHyattsville, MD 20782-3909 · (240) 441-8441

Phone(202) 558-4681

Sole ProprietorNo

Enumeration DateApril 1, 2010

✔ NPI 1740505783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in DC · RN1003671

4660 MARTIN LUTHER KING JR AVE SW STE A3, Washington, DC 20032

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Other Providers at the Same Location NPPES 3

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

TENTEU GERVAIS SOUOP

Community Health Worker

4660 MARTIN LUTHER KING JR AVE SW STE A3
WASHINGTON, DC 20032

District of Columbia (202) 318-0179

KELVIN KANG NONG IV CSW

Community Health Worker

4660 MARTIN LUTHER KING JR AVE SW STE A3
WASHINGTON, DC 20032

District of Columbia (202) 318-0179

FRU MCDOLF NGOMANJI

Case Manager/Care Coordinator

4660 MARTIN LUTHER KING JR AVE SW STE A3
WASHINGTON, DC 20032

District of Columbia (202) 318-0179

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 Taneisha Jacson's NPI number?

The NPI number for Taneisha Jacson is 1740505783. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Taneisha Jacson located?

Taneisha Jacson practices at 4660 Martin Luther King Jr Ave SW Ste A3, Washington, DC 20032. The listed phone number is (202) 558-4681.

What is Taneisha Jacson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Taneisha Jacson was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.