- Practice location
- 75 Broad St, 0815, New York, NY 10004-2415
- Phone
- 718-391-0611
- Fax
- —
- Last updated
- June 5, 2013
Jaisa Joseph Pallickal is a Clinical Nurse Specialist, Adult Health based in New York, NY. Jaisa Joseph Pallickal practices in New York, NY and has the professional credentials of MSN ANP. The NPI Number for Jaisa Joseph Pallickal is 1003254657 and holds a License No. 305563 (NY). The current practice location address for Jaisa Joseph Pallickal is 75 Broad St, 0815, New York, NY 10004-2415 and can be reached out via phone at 718-391-0611.
Provider Profile Details
- NPI Number
- 1003254657
- Provider Name
- Jaisa Joseph Pallickal
- Credential
- MSN ANP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Broad St, 0815, New York, NY 10004-2415
- Phone Number
- 718-391-0611
- Primary Taxonomy
- Clinical Nurse Specialist, Adult Health · 364SA2200X
- Sole Proprietor
- No
- Other Names
- Mrs. Annamma Zachariah, RN (Former Name)
- Provider Enumeration Date
- June 5, 2013
- Last Update Date
- June 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Broad St
0815
New York, NY 10004-2415 - City
- New York
- State
- New York
- Zip
- 10004-2415
- Phone Number
- 718-391-0611
Provider Business Mailing Address Details
- Address
- 17 Best St
Westwood, NJ 07675-2701 - City
- Westwood
- State
- NJ
- Zip
- 07675-2701
- Phone Number
- 201-358-0349
License Information
- License Number
- 305563
- License State
- NY
- Taxonomy
- Clinical Nurse Specialist, Adult Health · 364SA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jaisa J Pallickal, MSN ANP?
The NPI number of Mrs. Jaisa J Pallickal, MSN ANP is 1003254657. It was assigned on June 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jaisa J Pallickal, MSN ANP?
Mrs. Jaisa J Pallickal, MSN ANP is registered under the primary taxonomy Clinical Nurse Specialist, Adult Health (code 364SA2200X), licensed in NY under license number 305563.
Where does Mrs. Jaisa J Pallickal, MSN ANP practice?
The practice location is 75 Broad St, 0815, New York, NY 10004-2415. The office can be reached at 718-391-0611 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003254657 directly on the NPPES registry website.