Provider Demographics
NPI:1346972304
Name:JEKPE, JOY MAURICE
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:MAURICE
Last Name:JEKPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 SUNVALLEY TER
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1330
Mailing Address - Country:US
Mailing Address - Phone:240-714-2871
Mailing Address - Fax:
Practice Address - Street 1:6326 SUNVALLEY TER
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-1330
Practice Address - Country:US
Practice Address - Phone:240-714-2871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA20001944374U00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide