Individual provider · Type 1 NPI
Jisha Merin Mathew, MS, FNP-BC
Family Nurse Practitioner · Valley Stream, NY
NPI number
1700377934
Active
Practice location
1835 Oliver Ave, Apt 4
Valley Stream, NY 11580
Mailing address
1468 Madison Ave
New York, NY 10029-6508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 342567 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700377934
Jisha Merin Mathew, MS, FNP-BC's National Provider Identifier is 1700377934, issued on May 23, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valley Stream, NY. The record was last updated on May 20, 2022.