Jeretha Na Marbury
Student in an Organized Health Care Education/Training Program in Fayetteville, NC. Individual provider (NPI-1).
NPI number1811350796
StatusActive
Last updated in NPPESMar 30, 2016
Details
- NPI
- 1811350796
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jeretha Na Marbury
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2016
- Last updated
- Mar 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | WA | Yes |
| 172V00000X | Community Health Worker | – | NC | |
| 1744R1102X | Specialist, Research Study | – | NC | |
| 373H00000X | Day Training/Habilitation Specialist | – | NC | |
| 146D00000X | Personal Emergency Response Attendant | – | WA | |
| 171M00000X | Case Manager/Care Coordinator | – | NC | |
| 171R00000X | Interpreter | – | – | |
| 171W00000X | Contractor | – | – | |
| 171WH0202X | Contractor, Home Modifications | – | NC |
Other names
- Jeretha Na Harris (Former Name)
Practice location
201 S Mcpherson Church Rd Ste 202dFayetteville, NC 28303-4974
Phone 253-376-6503
Mailing address
Po Box 71320Jeretha Marbury
Fpo, AA 28307-1320
Phone 253-376-6503
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