JUSTLINE TAH NPI 1114463346

NPI Information

  • NPI: 1114463346
  • Provider Name: JUSTLINE TAH
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 4017 MINNESOTA AVE NE
    WASHINGTON, DC
    ZIP 20019
  • Phone: (202) 388-9202

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NPI Details

Justline Tah is a psychiatric/mental health and adult registered nurse in Washington, DC. Justline Tah NPI is 1114463346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4017 MINNESOTA AVE NE
WASHINGTON, DC
ZIP 20019-541
Phone: (202) 388-9202
Fax: (202) 388-4339

The enumeration date for this NPI number is 1/11/2017 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult500018807DISTRICT OF COLUMBIAYes
2171M00000XCase Manager/Care CoordinatorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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