Provider Demographics
NPI:1912863655
Name:SOMA NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:SOMA NURSE PRACTITIONER IN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER IN PSYCHIATRY
Authorized Official - Prefix:MS
Authorized Official - First Name:JHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANCISCO REYES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:917-544-9607
Mailing Address - Street 1:118 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-7455
Mailing Address - Country:US
Mailing Address - Phone:917-544-9607
Mailing Address - Fax:718-962-7585
Practice Address - Street 1:118 ASPEN DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-7455
Practice Address - Country:US
Practice Address - Phone:917-544-9607
Practice Address - Fax:718-962-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-26
Last Update Date:2025-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty