Nida S Abdel Jabbar

Individual provider Active NPI Pediatric Registered Nurse · Homestead, FL

NPI 1043035389 · NPPES record last updated Nov 21, 2024

Key facts

NPI
1043035389
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
RN9570315 (FL)
Practice address
28924 SW 163Rd Ave
Homestead, FL 33033-4113
Phone
(786) 765-9681
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN9570315FLMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN9570315 FL Yes

Addresses

Primary practice location

28924 SW 163Rd Ave
Homestead, FL 33033-4113

Mailing address

28924 SW 163Rd Ave
Homestead, FL 33033-4113
Phone (786) 765-9681

Other providers in Homestead, FL

All providers in Homestead, FL · Pediatric Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.