Healthcare Provider Details

I. General information

NPI: 1831026228
Provider Name (Legal Business Name): NURSE STAT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ASTOR AVE
BRONX NY
10469-5900
US

IV. Provider business mailing address

1500 ASTOR AVE
BRONX NY
10469-5900
US

V. Phone/Fax

Practice location:
  • Phone: 678-322-8078
  • Fax:
Mailing address:
  • Phone: 678-322-8078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIANA JARRELL
Title or Position: COO
Credential:
Phone: 678-322-8078