NPI 1003379314

Jaina Sabu Samuel

Practitioner Acute Care Nurse Practitioner Detroit, MI

Practice location

Address: 22101 Moross Rd, Detroit, MI 48236-2148
Phone: (313) 343-4000
Mailing address: 49409 W Central Park, Shelby Twp, MI 48317-6355

Registered specialties (2)

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 4704247931 (MI)

Other Nurse Practitioner providers in Michigan →

Medical-Surgical Registered Nurse

Nursing Service Providers Taxonomy 163WM0705X Licence 4704247931 (MI)

Other Registered Nurse providers in Michigan →

Registry record

NPI: 1003379314
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2019
Record last updated: 3 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.