Mrs. Jessy Samuel, FNP
Nurse Practitioner, Family in Paterson, New Jersey
1154940450- Practice location
- 703 Main St, Paterson, NJ 07503-2621
- Phone
- 973-754-2000
- Fax
- —
- Last updated
- April 16, 2020
Jessy Samuel is a Nurse Practitioner, Family based in Paterson, NJ. Jessy Samuel practices in Paterson, NJ and has the professional credentials of FNP. The NPI Number for Jessy Samuel is 1154940450 and holds a License No. 26NJ01027200 (NJ). The current practice location address for Jessy Samuel is 703 Main St, Paterson, NJ 07503-2621 and can be reached out via phone at 973-754-2000.
Provider Profile Details
- NPI Number
- 1154940450
- Provider Name
- Jessy Samuel
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 703 Main St, Paterson, NJ 07503-2621
- Phone Number
- 973-754-2000
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2020
- Last Update Date
- April 16, 2020
- Certification Date
- April 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 Main St
Paterson, NJ 07503-2621 - City
- Paterson
- State
- New Jersey
- Zip
- 07503-2621
- Phone Number
- 973-754-2000
Provider Business Mailing Address Details
- Address
- 242 Lakewood Dr
Bloomfield, NJ 07003-3720 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3720
- Phone Number
- 973-820-8428
License Information
- License Number
- 26NJ01027200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Paterson, NJ
View all Nurse Practitioner, Family providers in Paterson →Frequently Asked Questions
What is the NPI number of Mrs. Jessy Samuel, FNP?
The NPI number of Mrs. Jessy Samuel, FNP is 1154940450. It was assigned on April 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jessy Samuel, FNP?
Mrs. Jessy Samuel, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01027200.
Where does Mrs. Jessy Samuel, FNP practice?
The practice location is 703 Main St, Paterson, NJ 07503-2621. The office can be reached at 973-754-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154940450 directly on the NPPES registry website.