Provider Demographics
NPI:1861214520
Name:JIKEME, IFY
Entity type:Individual
Prefix:
First Name:IFY
Middle Name:
Last Name:JIKEME
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 1:11 T ST NE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1517
Mailing Address - Country:US
Mailing Address - Phone:469-554-2285
Mailing Address - Fax:
Practice Address - Street 1:11 T ST NE UNIT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1517
Practice Address - Country:US
Practice Address - Phone:469-554-2285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator