Provider Demographics
NPI:1831746791
Name:IBRAHIM, JEMILA AHMED I
Entity type:Individual
Prefix:MISS
First Name:JEMILA
Middle Name:AHMED
Last Name:IBRAHIM
Suffix:I
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JEMILA
Other - Middle Name:AHMED
Other - Last Name:IBRAHIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5920 14TH ST NW APT 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1781
Mailing Address - Country:US
Mailing Address - Phone:703-899-6242
Mailing Address - Fax:
Practice Address - Street 1:5920 14TH ST NW APT 302
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1781
Practice Address - Country:US
Practice Address - Phone:703-899-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program