Individual provider · Type 1 NPI
Jill T. Kooyoomjian, NP
Obstetrics & Gynecology Nurse Practitioner · Peabody, MA
NPI number
1821240177
Active
Practice location
1 Essex Center Drive, Lahey Northshore
Peabody, MA 01960-4711
Fax (978) 538-4708
Mailing address
1 Essex Center Dr., Lahey Clinic
Peabody, MA 01960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 274888 (MA) |
| Nurse Practitioner | 363L00000X | RN274888 (MA) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 274888 (MA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
5 other providers at this address
- Anu Diddee, MDInternal Medicine Physician Peabody, MA NPI 1932214178
- Irina Buhaescu, MDRheumatology Physician Peabody, MA NPI 1619144052
- Leslie Joan Rigali, DOInternal Medicine Physician Peabody, MA NPI 1609860857
- Mahesh K. Bhardwaj, ODOptometrist Peabody, MA NPI 1821180894
- Wendy Lok Hyatt, PA-CSurgical Physician Assistant Peabody, MA NPI 1740391333
About NPI 1821240177
Jill T. Kooyoomjian, NP's National Provider Identifier is 1821240177, issued on Oct 17, 2008. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Peabody, MA. The record was last updated on Jun 10, 2020.