Jaina Sabu Samuel
Nurse Practitioner - Acute Care
49409 W Central Park
Shelby Twp
, Michigan 48317-6355
Jaina Sabu Samuel
Nurse Practitioner - Acute Care
49409 W Central Park
Shelby Twp
, Michigan 48317-6355
(734) 620-7933
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Jaina Sabu Samuel
- 49409 W Central Park
- Shelby Twp, MI
- Zip : 48317-6355
- Phone : (734) 620-7933
Second Address
- Jaina Sabu Samuel
- 49409 W Central Park
- Shelby Twp, MI
- Zip : 48317-6355
- Phone : (734) 620-7933
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 4704247931 | MI |
National Provider Identifier
| NPI | 1003379314 |
|---|---|
| Provider Name | Jaina Sabu Samuel |
| First Address | Shelby Twp, MI 48317-6355 |
| Second Address | Shelby Twp, MI 48317-6355 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2019 |
| Last Update Date | 07/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.