Individual provider · Type 1 NPI
Jaina Sabu Samuel
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1003379314
Active
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
49409 W Central Park
Shelby Township, MI 48317-6355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 4704247931 (MI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704247931 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003379314
Jaina Sabu Samuel's National Provider Identifier is 1003379314, issued on Apr 12, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Apr 3, 2024.