MS. JERETHA NA MARBURY NPI 1811350796

NPI Information

NPI: 1811350796
Provider Name: MS. JERETHA NA MARBURY
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
201 S MCPHERSON CHURCH RD STE 202D
FAYETTEVILLE, NC
ZIP 28303
Phone: (253) 376-6503
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MS. Jeretha Na Marbury is a student in an organized health care education training program in Fayetteville, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Jeretha Na Marbury NPI is 1811350796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 S MCPHERSON CHURCH RD STE 202D
FAYETTEVILLE, NC
ZIP 28303-974
Phone: (253) 376-6503

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

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 State	Primary
1	172V00000X	Community Health Worker		NORTH CAROLINA	No
2	1744R1102X	Specialist	Research Study	NORTH CAROLINA	No
3	373H00000X	Day Training/Habilitation Specialist		NORTH CAROLINA	No
4	146D00000X	Personal Emergency Response Attendant		WASHINGTON	No
5	171M00000X	Case Manager/Care Coordinator		NORTH CAROLINA	No
6	171R00000X	Interpreter			No
7	171W00000X	Contractor			No
8	171WH0202X	Contractor	Home Modifications	NORTH CAROLINA	No
9	390200000X	Student in an Organized Health Care Education/Training Program		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1346613387	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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