Individual provider · Type 1 NPI

Jurry Om, FNP

Family Nurse Practitioner · Melbourne, FL

NPI number 1053969014 Active

Practice location

707 W Eau Gallie Blvd
Melbourne, FL 32935-5958

Mailing address

8880 Napolo Dr
Melbourne, FL 32940-7499

Other practice locations

  • 9695 S Yosemite St Ste 324, Lone Tree, CO 80124-2890 · (303) 706-9054

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XMO9002990 (FL)
Family Nurse Practitioner 363LF0000XAPN.0994708-NP (CO)
Family Nurse Practitioner Primary 363LF0000X11032788 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1053969014

Jurry Om, FNP's National Provider Identifier is 1053969014, issued on Sep 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Melbourne, FL. The record was last updated on Aug 16, 2024.