Provider Demographics
NPI:1992694616
Name:JABEA NGALLE, FRIDA
Entity type:Individual
Prefix:
First Name:FRIDA
Middle Name:
Last Name:JABEA NGALLE
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 1:3815 DOGWOOD DR APT F
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3770
Mailing Address - Country:US
Mailing Address - Phone:563-422-0143
Mailing Address - Fax:563-422-0143
Practice Address - Street 1:3815 DOGWOOD DR APT F
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3770
Practice Address - Country:US
Practice Address - Phone:563-422-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty