Jsomal, FNP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JSOMAL, FNP PLLC

Doing business as

J. Somal Aesthetics

Practice address

24820 N 16TH Ave Ste 110
Phoenix, AZ 85085-0643

Phone

(623) 271-2364

NPI assigned

Jun 18, 2022

Last updated

Oct 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Nicole Somal, FNP-CNPI 1699416917

Title

Owner

Phone

(623) 271-2364

Specialties & licenses 1

Addresses

Other names 1

• J. Somal Aesthetics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Nicole Somal, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1699416917
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1437880713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41612 N SIGNAL HILL CT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850861913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24820 N 16TH AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850643",
            "telephone_number": "623-271-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 W Deer Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822102",
            "country_code": "US",
            "telephone_number": "623-561-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JSOMAL, FNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "SOMAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-271-2364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Somal Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.