Provider Demographics
NPI:1396625489
Name:MURRAY, JADEN XAVIER
Entity type:Individual
Prefix:
First Name:JADEN
Middle Name:XAVIER
Last Name:MURRAY
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 1:9014 BREEZEWOOD TER APT 103
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4012
Mailing Address - Country:US
Mailing Address - Phone:301-364-7685
Mailing Address - Fax:
Practice Address - Street 1:9014 BREEZEWOOD TER APT 103
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4012
Practice Address - Country:US
Practice Address - Phone:301-364-7685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator