Ajomol Kurisunkal Jose
Nurse Practitioner, Family in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1861963159
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1861963159
- Entity type
- Individual (NPI-1)
- Name
- Ajomol Kurisunkal Jose
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN9225913 | FL | Yes |
Practice location
16194 Nw 15th StPembroke Pines, FL 33028-1220
Phone 954-559-2601
Mailing address
16194 Nw 15th StPembroke Pines, FL 33028-1220
Phone 954-559-2601
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