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SAMARA DEJESUS
NPI 1053952283
Licensed Practical Nurse in Stratford, CT

Active since September 29, 2019
419 BRUCE AVE, STRATFORD, CT 06615(203) 923-4211 Get Directions Write a Review

NPPES record last updated: September 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samara Dejesus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARA DEJESUS (NPI 1053952283) is an individual licensed practical nurse in Stratford, Connecticut, licensed in Connecticut (40813) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1053952283
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMARA DEJESUS
Location Address419 BRUCE AVEStratford, CT 06615-5525
Mailing Address419 Bruce AveStratford, CT 06615-5525 · (203) 923-4211
Phone(203) 923-4211
Sole ProprietorYes
Enumeration DateSeptember 29, 2019
✔ NPI 1053952283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CT · 40813
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
419 BRUCE AVE, Stratford, CT 06615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samara Dejesus's NPI number?

The NPI number for Samara Dejesus is 1053952283. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Where is Samara Dejesus located?

Samara Dejesus practices at 419 Bruce Ave, Stratford, CT 06615. The listed phone number is (203) 923-4211.

What is Samara Dejesus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samara Dejesus was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.