Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jerry Idiculla Chandy, NP

Individual provider Adult Health Nurse Practitioner · NPI 1023447695

Mr. Jerry Idiculla Chandy, NP is an Adult Health Nurse Practitioner in Trenton, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1675 Kingsway Ct Ste 1
Trenton, MI 48183-1958
Phone: (734) 676-8530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 632 Broadway Ph, New York, NY 10012-2614 — (800) 731-4254

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704276954 (MI)

Record details

NPI number1023447695
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

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