Provider Demographics
NPI:1497252191
Name:NJEBA, MARCY
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:NJEBA
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 1:8001 MANDAN RD APT 201
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2849
Mailing Address - Country:US
Mailing Address - Phone:240-495-4534
Mailing Address - Fax:
Practice Address - Street 1:8001 MANDAN RD APT 201
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2849
Practice Address - Country:US
Practice Address - Phone:240-495-4534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant