Individual provider · Type 1 NPI

Ashley Jacob Kuruvilla, FNP-C

Family Nurse Practitioner · Roswell, GA

NPI number 1306222302 Active

Practice location

1380 Woodstock Rd
Roswell, GA 30075-2141

Mailing address

3762 Dragon Fly Ln
Loganville, GA 30052-9087

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN198212 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306222302

Ashley Jacob Kuruvilla, FNP-C's National Provider Identifier is 1306222302, issued on Aug 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roswell, GA. The record was last updated on Oct 28, 2015.