Individual provider · Type 1 NPI

Jensine Tomi Chemmalakuzhy, NP

Nurse Practitioner · Greensboro, GA

NPI number 1497350920 Active

Practice location

1010 Park Dr
Greensboro, GA 30642-3466

Mailing address

PO Box 116116
Atlanta, GA 30368-6116

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN252456 (GA)
Registered Nurse 163W00000XRN252456 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497350920

Jensine Tomi Chemmalakuzhy, NP's National Provider Identifier is 1497350920, issued on Dec 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, GA. The record was last updated on Mar 8, 2021.