Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY IDICULLA CHANDY, N.P.
ActiveMR. JERRY IDICULLA CHANDY, N.P. is a Adult Health Nurse Practitioner healthcare provider located in TRENTON, Michigan. NPI 1023447695 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · TRENTON, MI
Registration Details
- NPI Number
- 1023447695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2013 (12.737963051946 yrs)
- Last Updated
- Mar 7, 2025
- License
-
4704276954 (MI)
Practice Information
- Address
-
1675 KINGSWAY CT STE 1TRENTON, MI, 481831958Browse MI providers · Browse ZIP 48183
- Phone
- 7346768530
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in TRENTON, MI
| Name | Credential | NPI |
|---|---|---|
| KELLEY MARIE KORONA | — | 1528005279 |
| MRS. LISA RANEA DUGAS | ANP-BC | 1235437831 |
| MRS. LAURA FODOR | NP | 1326477084 |
| STACI DAMIANI | — | 1043753502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.