Individual provider · Type 1 NPI
Deepa Jose, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1104103076
Active
Practice location
535 East 70th St
New York, NY 10021
Mailing address
1 Rolling Ridge Rd
New City, NY 10956-6931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 30 305733 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 34 340816 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1104103076
Deepa Jose, NP's National Provider Identifier is 1104103076, issued on Nov 7, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Apr 19, 2016.