Provider Demographics
NPI:1346774650
Name:HESS, DEMERE KASPER (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DEMERE
Middle Name:KASPER
Last Name:HESS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 LOUGHBORO RD NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2626
Mailing Address - Country:US
Mailing Address - Phone:202-660-5191
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:BUILDING B, GROUND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:202-660-5766
Practice Address - Fax:202-537-4442
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR233611363LF0000X
DCRN1043109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR233611OtherMD BON
DCRN1043109OtherDC DOH