Provider Demographics
NPI:1548474497
Name:MARCUS, JANET INGRAM (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:INGRAM
Last Name:MARCUS
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4300 OLD DOMINION DR
Mailing Address - Street 2:#615
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3246
Mailing Address - Country:US
Mailing Address - Phone:703-314-6189
Mailing Address - Fax:202-444-6697
Practice Address - Street 1:1555 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 401
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1111
Practice Address - Country:US
Practice Address - Phone:703-314-6189
Practice Address - Fax:202-444-6697
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN965787163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult