MRS. JOMOL SHANKO PUTHEN FNP NPI 1780086579

NPI Information

NPI: 1780086579
Provider Name: MRS. JOMOL SHANKO PUTHEN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
903 W MARTIN ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 358-3441
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MRS. Jomol Shanko Puthen, FNP is a family nurse practitioner in San Antonio, TX with 10 years of experience. MRS. Jomol Shanko Puthen, FNP NPI is 1780086579. 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:

903 W MARTIN ST
SAN ANTONIO, TX
ZIP 78207-903
Phone: (210) 358-3441
Fax: (210) 358-5944

The NPI 1780086579 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 9/23/2014 and was last updated on 2/10/2021.

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
1	363LF0000X	Nurse Practitioner	Family	AP125973	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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