Provider Demographics
NPI:1366995367
Name:ALLBBAN, JEHAN
Entity type:Individual
Prefix:
First Name:JEHAN
Middle Name:
Last Name:ALLBBAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 JOHN R RICE BLVD
Mailing Address - Street 2:107
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4165
Mailing Address - Country:US
Mailing Address - Phone:678-326-0575
Mailing Address - Fax:
Practice Address - Street 1:157 JOHN R RICE BLVD
Practice Address - Street 2:107
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4165
Practice Address - Country:US
Practice Address - Phone:678-326-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator