Individual provider · Type 1 NPI

Jyothi Mammen, NP

Family Nurse Practitioner · Staten Island, NY

NPI number 1194298406 Active

Practice location

4143 Richmond Ave Ste 1
Staten Island, NY 10312-5637

Call (718) 966-5556 Map

Mailing address

682 Forest Ave
Staten Island, NY 10310-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X343382 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1194298406

Jyothi Mammen, NP's National Provider Identifier is 1194298406, issued on Jan 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 9, 2019.