MRS. JESSY SAMUEL ABRAHAM (NPI# 1457738890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457738890 |
| Entity Type | Individual |
| Full Name | MRS. JESSY SAMUEL ABRAHAM |
| Other Name | MRS. JESSY SAMUEL ABRAHAM |
| Practice Address |
3444 Lithia Pincrest Rd Valrico FL 33596-6301 |
| Mailing Address |
2410 Fountain Grass Dr Valrico FL 33594-6703 |
| Practice Telephone | 8136439393 |
| Mailing Telephone | 8134093961 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9226920 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3444 LITHIA PINCREST RD |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223545 | John Charles Webb | Nurse Practitioner | 3309 Eastmonte Dr, Valrico, FL 33596-6085 | 2019-12-26 |
| 1083252845 | Cara Manco | Nurse Practitioner | 1118 Lumsden Pointe Blvd, Valrico, FL 33594-4518 | 2019-12-11 |
| 1386288025 | Susan Marie Otero | Nurse Practitioner | 1719 Avant St, Valrico, FL 33594-4779 | 2019-11-06 |
| 1245763937 | Crystal Brown | Nurse Practitioner | 906 Citrone Ct, Valrico, FL 33594-4325 | 2017-04-10 |
| 1285172023 | Mercy Mammen Geevarghese | Nurse Practitioner | 2533 Cross More St, Valrico, FL 33594-4640 | 2017-02-01 |
| 1396296174 | Jasmin Pullappally | Nurse Practitioner | 2602 Queen Alberta Dr, Valrico, FL 33596-6526 | 2016-10-17 |
| 1134588544 | Kelly Bulaclac | Nurse Practitioner | 2946 Hickory Grove Dr, Valrico, FL 33596-7952 | 2016-02-12 |
| 1528423183 | Bindumol Mathew | Nurse Practitioner | 3321 Pine Top Dr, Valrico, FL 33594-7617 | 2015-12-28 |
| 1215301031 | Raji Kuriakose | Nurse Practitioner | 436 Country Vineyard Dr, Valrico, FL 33594-3045 | 2015-11-17 |
| 1104240381 | Trini-t Medical Services LLC | Nurse Practitioner | 3519 Pine Top Dr, Valrico, FL 33594-7622 | 2014-02-10 |
| Find all providers in VALRICO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.