DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AJIE JIBU MAMMARAPPALLIL, AGACNP

Active

AJIE JIBU MAMMARAPPALLIL, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1215510987 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · PALOS HEIGHTS, IL

Registration Details

NPI Number
1215510987
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2021 (5.101646740673 yrs)
Last Updated
Apr 30, 2021
Licenses
209022913 (IL)
209022913 (IL)

Practice Information

Address
12251 S 80TH AVE
PALOS HEIGHTS, IL, 604631290
Browse IL providers · Browse ZIP 60463
Phone
7089234000
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in PALOS HEIGHTS, IL

Name Credential NPI
TRACY ANN CASAS AGACNP-BC 1760904676
ANNIE RANGEL APRN, ACNPC-AG 1093674517
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.