Salmata Sall Jabbie

Individual provider Active NPI General Practice Registered Nurse · South Amboy, NJ

NPI 1245077684 · NPPES record last updated Jul 12, 2024

Key facts

NPI
1245077684
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
26NR25866200 (NJ)
Practice address
901 Ernston Rd
South Amboy, NJ 08879-2000
Phone
(732) 515-8327
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
Yes

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
26NR25866200NJMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR25866200 NJ Yes

Addresses

Primary practice location

901 Ernston Rd
South Amboy, NJ 08879-2000

Mailing address

9 Chelsea CT
Franklin Park, NJ 08823-1501
Phone (732) 515-8327

Other providers in South Amboy, NJ

All providers in South Amboy, NJ · General Practice Registered Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.