NPI 1457738890 · live from the CMS NPI Registry
Jessy Samuel Abraham
Nurse Practitioner, Family in Lakeland, FL. National Provider Identifier 1457738890, active.
NPI record
| NPI | 1457738890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 5010 S Florida Ave, Lakeland, FL 33813 |
| Practice phone | 863-644-2411 |
| Enumerated | May 6, 2015 |
| Last updated | December 2, 2025 |
| Sole proprietor | No |
| Other names | Jessy Abraham |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | APRN9226290 (FL) |
| Nurse Practitioner, Family | 363LF0000X | ARNP9226920 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.