Provider Demographics
NPI:1740005370
Name:IJEWEMEN, UMAH (FNP)
Entity type:Individual
Prefix:
First Name:UMAH
Middle Name:
Last Name:IJEWEMEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:UMAH/MUMMY
Other - Middle Name:
Other - Last Name:KAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 S GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5334
Mailing Address - Country:US
Mailing Address - Phone:614-657-9680
Mailing Address - Fax:
Practice Address - Street 1:270 S GRANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5334
Practice Address - Country:US
Practice Address - Phone:614-869-1014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2024094230363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily