Provider Demographics
NPI:1396555447
Name:NOUMSI, JACQUES JULES
Entity type:Individual
Prefix:
First Name:JACQUES
Middle Name:JULES
Last Name:NOUMSI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10723 VENETIA MILL CIR APT 1A
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1571
Mailing Address - Country:US
Mailing Address - Phone:240-643-4615
Mailing Address - Fax:
Practice Address - Street 1:10723 VENETIA MILL CIR APT 1A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1571
Practice Address - Country:US
Practice Address - Phone:240-643-4615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator