Provider Demographics
NPI:1063515906
Name:JMB NURSING SERVICES, PC
Entity type:Organization
Organization Name:JMB NURSING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-945-5295
Mailing Address - Street 1:2410 BAYSWATER AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1758
Mailing Address - Country:US
Mailing Address - Phone:718-337-0595
Mailing Address - Fax:
Practice Address - Street 1:304 BEACH 63 STREET
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692
Practice Address - Country:US
Practice Address - Phone:718-945-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9413L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health