Individual provider · Type 1 NPI
Jerrin Chacko, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Richmond Hill, NY
NPI number
1104593169
Active
Practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
8624 Musket St
Queens Village, NY 11427-2718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403669 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104593169
Jerrin Chacko, PMHNP's National Provider Identifier is 1104593169, issued on Aug 26, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond Hill, NY. The record was last updated on Aug 26, 2021.