MS. JERETHA NA MARBURY


Address: 201 S Mcpherson Church Rd Ste 202d, Fayetteville, NC 28303-4974
Phone: 2533766503

MS. JERETHA NA MARBURY (NPI# 1811350796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811350796
Entity Type Individual
Full Name MS. JERETHA NA MARBURY
Other Name MS. JERETHA NA HARRIS
Practice Address 201 S Mcpherson Church Rd Ste 202d
Fayetteville
NC 28303-4974
Mailing Address Po Box 71320
Jeretha Marbury
Fpo
AA 28307-1320
Practice Telephone 2533766503
Mailing Telephone 2533766503
Enumeration Date 2016-03-30
Last Update Date 2016-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 146D00000X Personal Emergency Response Attendant WA Emergency Medical Service Providers
N 171W00000X Contractor Other Service Providers
N 171WH0202X Contractor
Specialization: Home Modifications
NC Other Service Providers
N 1744R1102X Specialist
Specialization: Research Study
NC Other Service Providers
N 373H00000X Day Training/Habilitation Specialist NC Nursing Service Related Providers
Y 390200000X Student in an Organized Health Care Education/Training Program WA Student, Health Care
N 172V00000X Community Health Worker NC Other Service Providers
N 171M00000X Case Manager/Care Coordinator NC Other Service Providers
N 171R00000X Interpreter Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1346613387 05

Office Location

Street Address 201 S MCPHERSON CHURCH RD STE 202D
City FAYETTEVILLE
State NC
Zip Code 28303-4974

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588276471 Henrietta Elise Mckoy Student in an Organized Health Care Education/Training Program 913 Liberty Ln, Fayetteville, NC 28311-3073 2020-08-20
1346869567 Sahiba Bajwa Student in an Organized Health Care Education/Training Program Uams Northwest Campus, 1125 N. College Avenue, Slot 100, Fayetteville, AR 72703-1908 2020-04-09
1982239463 Ashley A Bethea Student in an Organized Health Care Education/Training Program 4422 Spinel Dr, Fayetteville, NC 28311-6862 2020-03-05
1730719329 Jessica Claire Perrett Student in an Organized Health Care Education/Training Program 150 Oak Shadow Way, Fayetteville, GA 30215-2985 2020-01-22
1215579263 Hallie Hawe Student in an Organized Health Care Education/Training Program 2084 N Chestnut Ave Apt 13, Fayetteville, AR 72703-2242 2019-10-10
1457992877 Daniel Ross Barber Student in an Organized Health Care Education/Training Program 503 Blessings Hill Ln, Fayetteville, TN 37334-9710 2019-10-07
1982160982 Timothy Glenn Higgins Student in an Organized Health Care Education/Training Program 1689 N Whistling Straits Ave Apt 301, Fayetteville, AR 72704-6679 2019-02-14
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1053821165 Yancy T. Dials Student in an Organized Health Care Education/Training Program 340 Ridgemont Dr, Fayetteville, GA 30215-7708 2017-10-03
1881128601 Cynthia Jackson Student in an Organized Health Care Education/Training Program 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 2017-04-18
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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