Provider Demographics
NPI:1265008551
Name:COLEMAN, NAEJUMAH (CNA,CMA)
Entity Type:Individual
Prefix:MS
First Name:NAEJUMAH
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:CNA,CMA
Other - Prefix:MS
Other - First Name:NAEJUMAH
Other - Middle Name:
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1625 MYERS RD
Mailing Address - Street 2:
Mailing Address - City:EIGHT MILE
Mailing Address - State:AL
Mailing Address - Zip Code:36613-3836
Mailing Address - Country:US
Mailing Address - Phone:251-525-2411
Mailing Address - Fax:
Practice Address - Street 1:1625 MYERS RD
Practice Address - Street 2:
Practice Address - City:EIGHT MILE
Practice Address - State:AL
Practice Address - Zip Code:36613-3836
Practice Address - Country:US
Practice Address - Phone:251-525-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0030029184376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide