JAJ HEALTH CARE SERVICES ,LLC (NPI# 1144597923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144597923 |
Entity Type | Organization |
Organization Name | JAJ HEALTH CARE SERVICES ,LLC |
Practice Address |
12150 Annapolis Rd # 205 Glenndale MD 20769 |
Practice Telephone | 2023618012 |
Enumeration Date | 2011-11-22 |
Last Update Date | 2011-11-22 |
Authorized Official Name | JANEFRANCES EZIMORAH (CLINICAL DIRECTOR) |
Authorized Official Telephone | 2023618012 |
Authorized Official Credential | CRNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 442168000 | 05 |
Street Address |
12150 ANNAPOLIS RD # 205 |
City | GLENNDALE |
State | MD |
Zip Code | 20769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
1831128750 | Kelson Michael Figaro | Internal Medicine | 12150 Annapolis Road, Ste 200, Glenn Dale, MD 20769 | 2006-07-02 |
Find all providers in zip 20769 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
1609112010 | Christine Walters Fritze | Clinical Nurse Specialist | 1205 York Rd Ste 39b, Lutherville, MD 21093-6241 | 2012-12-13 |
1972629350 | Pamela Ellen Marcus | Clinical Nurse Specialist | 14460 Old Mill Rd, Suite 201, Upper Marlboro, MD 20772-3092 | 2007-03-21 |
1558413690 | Laurie Hope Mindek | Clinical Nurse Specialist | 3060 Mitchellville Road, #212, Bowie, MD 20716 | 2007-01-17 |
1164574703 | Janie Proctor Brimmer | Clinical Nurse Specialist | 3060 Mitchellville Rd Suite 212, Bowie Counseling Services, Bowie, MD 20716 | 2007-01-16 |
1841374774 | Empowerment Solutions, Inc. | Clinical Nurse Specialist | 699 Cottonwood Dr, Severna Park, MD 21146-2809 | 2006-10-25 |
1417030305 | Patricia Thelma Molla | Clinical Nurse Specialist | Vamhcs, Perry Point Division, Building 366, Room 140, Perry Point, MD 21902 | 2006-10-23 |
1609485929 | Lynxsure Wellness Center | Clinical Nurse Specialist | 7323 Hanover Pkwy Ste A, Greenbelt, MD 20770-3617 | 2020-07-23 |
1699317719 | Benson K. Mboche | Clinical Nurse Specialist | 1634 Sulphur Spring Rd, Halethorpe, MD 21227-2539 | 2019-10-09 |
1306373527 | Svetlana Goldberg | Clinical Nurse Specialist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2017-05-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JAJ HEALTH CARE SERVICES ,LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.