Healthcare Provider Details

I. General information

NPI: 1114658127
Provider Name (Legal Business Name): SABRINA ESMAIL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5123 W ST JOE HWY STE 205
LANSING MI
48917-4028
US

IV. Provider business mailing address

5123 W ST JOE HWY STE 205
LANSING MI
48917-4028
US

V. Phone/Fax

Practice location:
  • Phone: 517-492-0611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704388237
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704388237
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: