Healthcare Provider Details

I. General information

NPI: 1427472505
Provider Name (Legal Business Name): JULIET EYANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2014
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 DESERT PEACE CT
BRANDYWINE MD
20613-8001
US

IV. Provider business mailing address

1704 MOUNT PISGAH LN APT 13
SILVER SPRING MD
20903-2435
US

V. Phone/Fax

Practice location:
  • Phone: 240-705-6853
  • Fax:
Mailing address:
  • Phone: 240-705-6853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004325
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: