Provider Demographics
NPI:1306969969
Name:JNP ENTERPRISES, INC.
Entity type:Organization
Organization Name:JNP ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEWA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LEA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-421-1420
Mailing Address - Street 1:12501 SILVERBIRCH LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2508
Mailing Address - Country:US
Mailing Address - Phone:301-421-1420
Mailing Address - Fax:301-421-1426
Practice Address - Street 1:15202 DINO DR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1172
Practice Address - Country:US
Practice Address - Phone:301-421-1420
Practice Address - Fax:301-421-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty