Provider Demographics
NPI:1932079159
Name:WEBSTER, JAILAH AIJAHNAE
Entity type:Individual
Prefix:
First Name:JAILAH
Middle Name:AIJAHNAE
Last Name:WEBSTER
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 1:27865 INDEPENDENCE ST APT 202L
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-6076
Mailing Address - Country:US
Mailing Address - Phone:248-843-5944
Mailing Address - Fax:
Practice Address - Street 1:27865 INDEPENDENCE ST APT 202L
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-6076
Practice Address - Country:US
Practice Address - Phone:248-843-5944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty