MR. Jerry Idiculla Chandy, N.P. is an adult health nurse practitioner in Trenton, MI with 11 years of experience. MR. Jerry Idiculla Chandy, N.P. NPI is 1023447695. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1675 KINGSWAY CT STE 1
TRENTON, MI
ZIP 48183-958
Phone: (734) 676-8530
The NPI 1023447695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.