Provider Demographics
NPI:1104611193
Name:BARNES, JIHAD IBN
Entity type:Individual
Prefix:
First Name:JIHAD
Middle Name:IBN
Last Name:BARNES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 NEW JERSEY AVE NW APT 901
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5775
Mailing Address - Country:US
Mailing Address - Phone:202-956-9173
Mailing Address - Fax:
Practice Address - Street 1:810 NEW JERSEY AVE NW APT 901
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5775
Practice Address - Country:US
Practice Address - Phone:202-956-9173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty