Provider Demographics
NPI:1013727015
Name:AL-ASADI, JENIN
Entity type:Individual
Prefix:
First Name:JENIN
Middle Name:
Last Name:AL-ASADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 GEORGETOWN PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1866
Mailing Address - Country:US
Mailing Address - Phone:304-541-2151
Mailing Address - Fax:
Practice Address - Street 1:210 GEORGETOWN PL
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-1866
Practice Address - Country:US
Practice Address - Phone:304-541-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program