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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811350796 | NPPES |
North Carolina | MEDICAID | 1346613387 |
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