Individual provider · Type 1 NPI
Jennifer M. Samghabadi, NP
Family Nurse Practitioner · Port Jefferson Station, NY
NPI number
1881963502
Active
Practice location
15 Gary St
Port Jefferson Station, NY 11776-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F336553 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1881963502
Jennifer M. Samghabadi, NP's National Provider Identifier is 1881963502, issued on Dec 27, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Dec 27, 2011.