Basic Information
| Provider Information | |||||||||
| NPI: | 1013510213 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANYIAM | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | CHINWE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7513 BUCHANAN ST APT 326 | ||||||||
| Address2: | |||||||||
| City: | LANDOVER HILLS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207846312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2404766882 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2512 24TH ST NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200182126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328340 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2020 | ||||||||
| LastUpdateDate: | 11/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WX0200X | RN220653 | MD | Y | Nursing Service Providers | Registered Nurse | Oncology |
No ID Information.