Jessy S Naduparambil

Individual provider Active NPI Family Nurse Practitioner · Miami, FL

NPI 1225517907 · NPPES record last updated Jan 21, 2022

Key facts

NPI
1225517907
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN9188958 (FL)
Practice address
900 NW 17TH St
Miami, FL 33136-1119
Phone
(305) 326-6544
Fax
(305) 326-6574
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9188958FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9188958 FL Yes

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1119

Mailing address

900 NW 17TH St
Miami, FL 33136-1119
Phone (305) 326-6544

Other providers in Miami, FL

All providers in Miami, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.