NPI 1003254657

Jaisa Joseph Pallickal, MSNANP

Practitioner Adult Health Clinical Nurse Specialist New York, NY

Practice location

Address: 75 Broad St 0815, New York, NY 10004-2415
Phone: (718) 391-0611
Mailing address: 17 Best St, Westwood, NJ 07675-2701

Registered specialties

Adult Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2200X Licence 305563 (NY)

Other Clinical Nurse Specialist providers in New York →

Registry record

NPI: 1003254657
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.