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NPI Code Detail

MEDICARE: MEERA ROSE JOJO FNP- C

MEDICARE: MEERA ROSE JOJO FNP- C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209035009IL

General Provider Information

NPI Number : 1265389365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEERA ROSE JOJO FNP- C
Provider Business Mailing Address
First Line : 1616 N BURNING BUSH LN
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-1608
Country : US
Telephone Number : 847-361-1505
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 469-305-2752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ MEERA ROSE JOJO FNP- C” Practice Location

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