Active NPIIndividual provider

Jerel John

Nurse Practitioner, Family in Mount Kisco, New York

NPI Number1528511409
Practice location
90 S Bedford RD, Mount Kisco, NY 10549-3412
Fax
914-242-1412
Last updated
July 22, 2024

Jerel John is a Nurse Practitioner, Family based in Mount Kisco, NY. Jerel John practices in Mount Kisco, NY. The NPI Number for Jerel John is 1528511409 and holds a License No. 6545 (CT). The current practice location address for Jerel John is 90 S Bedford RD, Mount Kisco, NY 10549-3412 and can be reached out via phone at 914-241-1050 and via fax at 914-242-1412.

Provider Profile Details

NPI Number
1528511409
Provider Name
Jerel John
Provider Entity Type
Individual
Gender
Male
Address
90 S Bedford RD, Mount Kisco, NY 10549-3412
Phone Number
914-241-1050
Fax Number
914-242-1412
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2016
Last Update Date
July 22, 2024
Certification Date
July 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 S Bedford RD
Mount Kisco, NY 10549-3412
Zip
10549-3412
Phone Number
914-241-1050
Fax Number
914-242-1412
Mount Kisco, NY 10549Get directions →

Provider Business Mailing Address Details

Address
110 S Bedford RD
Mount Kisco, NY 10549-3446
City
Mount Kisco
State
NY
Zip
10549-3446
Phone Number
914-241-1050

License Information

License Number (1)
6545
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
340434
License State (2)
NY
Taxonomy (2)
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 Jerel John?

The NPI number of Jerel John is 1528511409. It was assigned on July 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Jerel John?

Jerel John is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 6545.

Where does Jerel John practice?

The practice location is 90 S Bedford RD, Mount Kisco, NY 10549-3412. The office can be reached at 914-241-1050 (phone) or 914-242-1412 (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 1528511409 directly on the NPPES registry website.

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