Individual provider · Type 1 NPI

Jerry Idiculla Chandy, N.P.

Adult Health Nurse Practitioner · Trenton, MI

NPI number 1023447695 Active

Practice location

1675 Kingsway Ct Ste 1
Trenton, MI 48183-1958

Call (734) 676-8530 Map

Other practice locations

  • 632 Broadway Ph, New York, NY 10012-2614 · (800) 731-4254

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X4704276954 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1023447695

Jerry Idiculla Chandy, N.P.'s National Provider Identifier is 1023447695, issued on Nov 5, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Trenton, MI. The record was last updated on Mar 7, 2025.