Individual ProviderJennifer LeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2240 M St NW Ward 2, Washington, DC 20037-1415(202) 296-9876PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Le is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174339345Provider TypeIndividualFull NameLe, JenniferGenderFemaleSole ProprietorYesEnumeration Date12/3/2024Last Updated12/19/2024Contact InformationPractice LocationPractice Address2240 M St NW Ward 2, Washington, DC 20037-1415Phone(202) 296-9876FaxUnlisted FaxMailing LocationMailing Address2240 M St NW, Washington, DC 20037-1415PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP1058018District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024191915Virginia