Provider Demographics
NPI:1053103705
Name:NIASSE, JANKEY CEESAY
Entity type:Individual
Prefix:
First Name:JANKEY
Middle Name:CEESAY
Last Name:NIASSE
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 1:8458 RANDELL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-6776
Mailing Address - Country:US
Mailing Address - Phone:301-300-6144
Mailing Address - Fax:
Practice Address - Street 1:8458 RANDELL RIDGE RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-6776
Practice Address - Country:US
Practice Address - Phone:301-300-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide