Active NPIIndividual provider

Jenny Koshy, APRN

Nurse Practitioner, Family in Enfield, Connecticut

NPI Number1225438278
Practice location
5 N Main St, Enfield, CT 06082-3372
Fax
860-343-7379
Last updated
June 22, 2023

Jenny Koshy is a Nurse Practitioner, Family based in Enfield, CT. 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 (IL). The current practice location address for Jenny Koshy is 5 N Main St, Enfield, CT 06082-3372 and can be reached out via phone at 860-347-6971 and via fax at 860-343-7379.

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 06082-3372
Phone Number
860-347-6971
Fax Number
860-343-7379
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2014
Last Update Date
June 22, 2023
Certification Date
June 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 N Main St
Enfield, CT 06082-3372
Zip
06082-3372
Phone Number
860-347-6971
Fax Number
860-343-7379
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
245 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2228
City
Bloomingdale
State
IL
Zip
60108-2228
Phone Number
630-924-4009
Fax Number
630-924-9671

License Information

License Number (1)
209011753
License State (1)
IL
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
209011753
License State (2)
IL
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
11880
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jenny Koshy, APRN?

The NPI number of Jenny Koshy, APRN is 1225438278. It was assigned on August 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Jenny Koshy, APRN?

Jenny Koshy, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in IL under license number 209011753.

Where does Jenny Koshy, APRN practice?

The practice location is 5 N Main St, Enfield, CT 06082-3372. The office can be reached at 860-347-6971 (phone) or 860-343-7379 (fax).

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 1225438278 directly on the NPPES registry website.

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