Provider Demographics
NPI:1730879701
Name:CHEGE, JEMIMAH MWIHAKI (LPN)
Entity type:Individual
Prefix:
First Name:JEMIMAH
Middle Name:MWIHAKI
Last Name:CHEGE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CEDAR ST APT 3316
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2143
Mailing Address - Country:US
Mailing Address - Phone:617-980-9800
Mailing Address - Fax:
Practice Address - Street 1:53 CEDAR ST APT 3316
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2143
Practice Address - Country:US
Practice Address - Phone:617-980-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN67243164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse