J & J Healthcare Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

J & J HEALTHCARE CLINIC

Doing business as

J and J Healthcare Services

Practice address

1459 Acton Ave
Duncanville, TX 75137

Phone

(972) 780-0118

Fax

(972) 780-0491

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Lamont Jerideau

Title

Nurse Practitioner

Phone

(972) 780-0118

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• J and J Healthcare Services Doing business as

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1841216967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 ACTON AVE",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "972-780-0118",
            "fax_number": "972-780-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 ACTON AVE",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "972-780-0118",
            "fax_number": "972-780-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "JERIDEAU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-780-0118"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "651668",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165696902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J and J Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adannaya C Inyama, MPAS PA-C
• Boris Ioffe, D.O.
• Shireen K Irani, DDS
• Italy Family Pharmacy Inc (Pharmacia Sana)
• Adeola Iyamah, DNP, PMHNP-BC.
• J. Steven Sollers, D.D.S., P.C.
• Rosie M Jackson
• Sierra Jackson, LPC ASSOCIATE
• Rhonda Jacobs
• Amir S Jalali, MD

• Family Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.