MEDICARE: JAWANY JOSEPH DNP FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	357768	NY
2	163W00000X	Registered Nurse	751002	NY
3	363LF0000X	Family Nurse Practitioner	15321	CT
4	164W00000X	Licensed Practical Nurse	3220551	NY
5	163W00000X	Registered Nurse	175865	CT

General Provider Information

NPI Number	:	1497292288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAWANY JOSEPH DNP FNP-BC

Provider Business Mailing Address
First Line	:	35 PLYMOUTH CT
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3449
Country	:	US
Telephone Number	:	347-238-7097
Fax Number	:

Provider Business Practice Location Address
First Line	:	8268 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1121
Country	:	US
Telephone Number	:	347-238-7097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2017
Last Update Date	:	12/11/2025

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