Carly Jornlin, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382905 Issued in NY

Practice address

8008 3Rd Ave
Brooklyn, NY 11209-3802

Phone

(302) 740-3327

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1104394071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 AVENUE A APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096573",
            "telephone_number": "302-740-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093802",
            "telephone_number": "302-740-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORNLIN",
        "first_name": "CARLY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altagracia Jorge Jorge
• Anna D Jorge
• Ertuania Jorge, COUNSELOR
• Kristie Amber Jorge
• Naomi Joris
• Jacques Josaphat
• Marie Josaphat
• Jose Villamil MD PLLC
• Diana Jose, MD
• Helma Jose, P.A

• Pediatric Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.