Individual ProviderJessica CrowleyDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address1375 Kenyon St NW Apt 317, Washington, DC 20010-7207(774) 454-4411PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Crowley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902362445Provider TypeIndividualFull NameCrowley, JessicaGenderFemaleSole ProprietorYesEnumeration Date2/20/2019Last Updated2/20/2019Contact InformationPractice LocationPractice Address1375 Kenyon St NW Apt 317, Washington, DC 20010-7207Phone(774) 454-4411FaxUnlisted FaxMailing LocationMailing Address1375 Kenyon St NW Apt 317, Washington, DC 20010-7207Phone(774) 454-4411FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDI100000886District of Columbia