Individual
MRS. JESSY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
242 LAKEWOOD DR, BLOOMFIELD, NJ 07003-3720
(973) 820-8428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01027200
NJ
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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