Provider Demographics
NPI:1992998215
Name:NDEBELE, THENJIWE (NP)
Entity type:Individual
Prefix:MS
First Name:THENJIWE
Middle Name:
Last Name:NDEBELE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7322 RIDGE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5854
Mailing Address - Country:US
Mailing Address - Phone:513-545-4273
Mailing Address - Fax:513-428-8056
Practice Address - Street 1:7322 RIDGE MEADOW CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5854
Practice Address - Country:US
Practice Address - Phone:513-545-4273
Practice Address - Fax:513-428-8056
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN358224163W00000X
OHAPRN.CNP.0028058363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse