JERRILYN EVERLISA JANA FABIEN NPI 1114868239

NPI Information

  • NPI: 1114868239
  • Provider Name: JERRILYN EVERLISA JANA FABIEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6301 WHISTLERS PL
    WALDORF, MD
    ZIP 20603
  • Phone: (832) 708-9321

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NPI Details

Jerrilyn Everlisa Jana Fabien is a mental health counselor in Waldorf, MD. Jerrilyn Everlisa Jana Fabien NPI is 1114868239. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6301 WHISTLERS PL
WALDORF, MD
ZIP 20603-361
Phone: (832) 708-9321

The enumeration date for this NPI number is 4/2/2026 and was last updated on 4/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLGP16200MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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