Individual provider · Type 1 NPI
Jenny Philip Chacko, AGPCNP-BC
Primary Care Nurse Practitioner · New York, NY
NPI number
1740767185
Active
Practice location
1000 10th Ave
New York, NY 10019-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F308580 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1740767185
Jenny Philip Chacko, AGPCNP-BC's National Provider Identifier is 1740767185, issued on Jul 27, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Jul 27, 2018.