JURRY OM FNP NPI 1053969014

NPI Information

  • NPI: 1053969014
  • Provider Name: JURRY OM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 707 W EAU GALLIE BLVD
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 727-3223

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NPI Details

Jurry Om, FNP is a family nurse practitioner in Melbourne, FL. Jurry Om, FNP NPI is 1053969014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 W EAU GALLIE BLVD
MELBOURNE, FL
ZIP 32935-958
Phone: (321) 727-3223

The enumeration date for this NPI number is 9/3/2019 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyMO9002990FLORIDANo
2363LF0000XNurse PractitionerFamilyAPN.0994708-NPCOLORADONo
3363LF0000XNurse PractitionerFamily11032788FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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