Provider Demographics
NPI:1841055738
Name:BIBBS, AJANI NURSE
Entity type:Individual
Prefix:MRS
First Name:AJANI
Middle Name:NURSE
Last Name:BIBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AJANI
Other - Middle Name:ABENO
Other - Last Name:BETHEA-NURSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16802 RAPIDCREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-5214
Mailing Address - Country:US
Mailing Address - Phone:347-825-0443
Mailing Address - Fax:
Practice Address - Street 1:10498 FOUNTAIN LAKE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3758
Practice Address - Country:US
Practice Address - Phone:346-285-1074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator