Provider Demographics
NPI:1598011850
Name:UTEMESI ALBERO, JEANNE TALEKE (NURSE)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:TALEKE
Last Name:UTEMESI ALBERO
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:TALEKE
Other - Last Name:UTEMESI ALBERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8839 STONEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1415
Mailing Address - Country:US
Mailing Address - Phone:240-701-0096
Mailing Address - Fax:
Practice Address - Street 1:9951 GOOD LUCK RD
Practice Address - Street 2:APT T3
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3268
Practice Address - Country:US
Practice Address - Phone:240-701-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP45241164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse