Provider Demographics
NPI:1144798638
Name:TAPSCOTT, DEVON JAQUES
Entity Type:Individual
Prefix:MR
First Name:DEVON
Middle Name:JAQUES
Last Name:TAPSCOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 NICHOLSON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2656
Mailing Address - Country:US
Mailing Address - Phone:240-462-3470
Mailing Address - Fax:
Practice Address - Street 1:1432 T ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5651
Practice Address - Country:US
Practice Address - Phone:202-718-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide