Provider Demographics
NPI:1184209017
Name:ABEDULLAH, MARIEM (DNP, APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIEM
Middle Name:
Last Name:ABEDULLAH
Suffix:
Gender:F
Credentials:DNP, APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JOURNAL SQ
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4006
Mailing Address - Country:US
Mailing Address - Phone:551-325-2333
Mailing Address - Fax:
Practice Address - Street 1:2 JOURNAL SQUARE PLZ
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4001
Practice Address - Country:US
Practice Address - Phone:201-894-3000
Practice Address - Fax:201-918-5520
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR19479600163WE0003X
NJ26NJ01227100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency