Marbury, Jeretha Na

Marbury, Jeretha Na is an individual health care provider with primary practice located at 201 S Mcpherson Church Rd Ste 202D , Fayetteville NC 28303-4974. She recently has 9 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Research Study, Nursing Service Related Providers / Day Training/Habilitation Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Emergency Medical Service Providers / Personal Emergency Response Attendant, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter, Other Service Providers / Contractor, Other Service Providers / Home Modifications. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Marbury, Jeretha Na can be contacted via phone (253) 376-6503.

Contact Information

Primary practice address
201 S Mcpherson Church Rd Ste 202D Fayetteville NC 28303-4974
Phone: (253) 376-6503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X North Carolina
Other Service Providers / Research Study 1744R1102X North Carolina
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Washington
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X Washington
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Carolina
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Home Modifications 171WH0202X North Carolina

Profile Details

NPI number 1811350796
LBN Legal business name Marbury, Jeretha Na
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Mar 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811350796 NPPES
North Carolina MEDICAID 1346613387

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