Provider Demographics
NPI:1851076400
Name:JATTA, JAHNI
Entity Type:Individual
Prefix:
First Name:JAHNI
Middle Name:
Last Name:JATTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 Q ST NE UNIT 2123
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2140
Mailing Address - Country:US
Mailing Address - Phone:240-498-5953
Mailing Address - Fax:
Practice Address - Street 1:200 Q ST NE APT 2436
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2395
Practice Address - Country:US
Practice Address - Phone:202-993-5812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant