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Jenny Koshy, APRN
Family Nurse Practitioner in Enfield, Connecticut
NPI 1225438278

Jenny Koshy is a Family Nurse Practitioner based in Bloomingdale, CT and is specialized in Family. Jenny Koshy practices in Enfield, CT and has the professional credentials of APRN. The NPI Number for Jenny Koshy is 1225438278 and holds a License No. 209011753 (Connecticut).

The current practice location address for Jenny Koshy is 5 N Main St, Enfield, CT and can be reached out via phone at 860-347-6971 and via fax at 860-343-7379.

Location: 5 N Main St, Enfield, CT, 60108-2228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225438278
Provider Name
Jenny Koshy
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5 N Main St, Enfield, CT, 60108-2228
Phone Number
860-347-6971
Fax Number
860-343-7379
Provider Enumeration Date
08/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400169410 01 IL MEDICARE PTAN (INDIVIDUAL)
920540 01 IL MEDICARE PTAN (GROUP)
346761379001 05 IL
institution
Provider Business Practice Location Address Details
Address
5 N Main St
City
Enfield
State
Connecticut
Zip
06082-3372
Phone Number
860-347-6971
Fax Number
860-343-7379
person
Provider Business Mailing Address Details
Address
5 N Main St
City
Enfield
State
Connecticut
Zip
06082-3372
Phone Number
860-347-6971
Fax Number
860-343-7379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209011753 (Illinois)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209011753 (Illinois)
Definition
Definition to come...
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