Individual provider · Type 1 NPI

Subha Jyothi Kukkala, NP

Nurse Practitioner · East Windsor, NJ

NPI number 1649025909 Active

Practice location

59 One Mile Rd Ext Fl 2
East Windsor, NJ 08520-2505

Mailing address

33 E 33rd St Fl 12
New York, NY 10016-5362

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ14971700 (NJ)

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 1649025909

Subha Jyothi Kukkala, NP's National Provider Identifier is 1649025909, issued on Apr 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Windsor, NJ. The record was last updated on Apr 20, 2024.