Individual provider · NPI-1

Jessy Samuel Abraham

Nurse Practitioner, Family · Lakeland, FL

NPI number1457738890
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1457738890
Entity type
Individual (NPI-1)
Name
Mrs. Jessy Samuel Abraham
Sex
Female
Sole proprietor
No
Enumeration date
May 6, 2015
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN9226290FLYes
363LF0000X Nurse Practitioner, FamilyARNP9226920FL

Other names

  • Jessy Samuel Abraham (Professional Name)

Practice location

5010 S Florida Ave
Lakeland, FL 33813-2510

Phone 863-644-2411

Mailing address

5010 S Florida Ave
Lakeland, FL 33813-2510

Phone 863-644-2411

Other practice locations

13670 Walsingham Rd
Largo, FL 33774-3532

Phone 727-593-9848 · Fax 727-596-4532

302 W Fletcher Ave
Tampa, FL 33612-3415

Phone 813-397-5300 · Fax 813-738-9001

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