Jolly Egbon

Key facts

NPI

1609618362

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

3001 Bladensburg Rd NE Apt N0301
Washington, DC 20018-2235

Phone

(240) 370-4891

NPI assigned

Jun 12, 2024

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2024.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1609618362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 BRENTWOOD RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182609",
            "telephone_number": "240-370-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BLADENSBURG RD NE APT N0301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182235",
            "telephone_number": "240-370-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBON",
        "first_name": "JOLLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

• Vanessa Egbe
• Lilian Egbeblount
• Benjamin Oluwatoyin Egbeola
• Yong Hee Egbert
• Jo Egbon
• Joyce Egbon
• Marieme Mama Egbon
• Benedicta Egbuanran
• Onyinyechi Modester Egbuchiri
• Tushaun Egbue, AGNP-C

All providers in Washington, DC · Personal Care Attendant in District of Columbia