Jack Ssemanda
Licensed Practical Nurse in New York, NY. Individual provider (NPI-1).
NPI number1831986355
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1831986355
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack Ssemanda
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 301877 | NY | Yes |
Practice location
593 Riverside Dr Apt 6fNew York, NY 10031-8025
Phone 917-603-3019
Mailing address
593 Riverside Dr Apt 6fNew York, NY 10031-8025
Phone 917-603-3019
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