Provider Demographics
NPI:1093304875
Name:JOMI, REEBA THOMAS (FNP-BC)
Entity Type:Individual
Prefix:
First Name:REEBA
Middle Name:THOMAS
Last Name:JOMI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PINE ST APT 419
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4381
Mailing Address - Country:US
Mailing Address - Phone:215-680-5162
Mailing Address - Fax:
Practice Address - Street 1:7447 W TALCOTT AVE STE 308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3714
Practice Address - Country:US
Practice Address - Phone:773-774-4512
Practice Address - Fax:773-444-0314
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01102500363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner