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NPI Code Detail

MEDICARE: ESHA JOSE FNP

MEDICARE: ESHA JOSE FNP
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
1163W00000XRegistered Nurse890704TX
2363LF0000XFamily Nurse PractitionerAP130513TX
3163W00000XRegistered Nurse041.380190IL
4363LF0000XFamily Nurse Practitioner15181WI
5363LF0000XFamily Nurse Practitioner209011444IL
6363LF0000XFamily Nurse Practitioner209.011444IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AP130513OTHERTXTEXAS FNP LICENSE
3209.011444OTHERILFNP LICENSE
4890704OTHERTXRN LICENSE

General Provider Information

NPI Number : 1841604345
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESHA JOSE FNP
Provider Business Mailing Address
First Line : 2020 E GRAND AVE
Second Line :
City : LINDENHURST
State : IL
Zip : 60046-9069
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2020 E GRAND AVE
Second Line :
City : LINDENHURST
State : IL
Zip : 60046-9069
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2014
Last Update Date : 02/27/2026

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