Provider Demographics
NPI:1336896257
Name:SAMMAH, NENEH JALLOH (RN)
Entity Type:Individual
Prefix:
First Name:NENEH
Middle Name:JALLOH
Last Name:SAMMAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 JOSEPHINE ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-1409
Mailing Address - Country:US
Mailing Address - Phone:617-285-6284
Mailing Address - Fax:
Practice Address - Street 1:13 JOSEPHINE ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1409
Practice Address - Country:US
Practice Address - Phone:161-728-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health