Individual provider · Type 1 NPI

Jeevamole Varughese

Family Nurse Practitioner · Jamaica, NY

NPI number 1407434558 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Mailing address

8248 267th St
Glen Oaks, NY 11004-1715

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF-345495-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1407434558

Jeevamole Varughese's National Provider Identifier is 1407434558, issued on Mar 31, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jamaica, NY. The record was last updated on Aug 12, 2021.