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NPI Code Detail

MEDICARE: JACQUELINE NKOH HHA

MEDICARE: JACQUELINE NKOH HHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1497021745
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE NKOH HHA
Provider Business Mailing Address
First Line : 7309 ALBATROSS CT
Second Line :
City : BOWIE
State : MD
Zip : 20720-4744
Country : US
Telephone Number : 301-672-3837
Fax Number :
Provider Business Practice Location Address
First Line : 2124 MARTIN LUTHER KING JR AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5732
Country : US
Telephone Number : 202-563-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2012
Last Update Date : 04/21/2023

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