Provider Demographics
NPI:1760298590
Name:ADUMS, JENNIFER IJEOMA
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:IJEOMA
Last Name:ADUMS
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 1:716 MADISON ST NW APT 303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3087
Mailing Address - Country:US
Mailing Address - Phone:202-290-7680
Mailing Address - Fax:
Practice Address - Street 1:716 MADISON ST NW APT 303
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3087
Practice Address - Country:US
Practice Address - Phone:202-290-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide