Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Jaisa Joseph Pallickal, MSN ANP

Adult Health Clinical Nurse Specialist in New York, NY · enumerated 2013 · practices at Complex Care Solutions.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003254657

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Registry record

Entity type Individual (Type 1)

Name Mrs. Jaisa Joseph Pallickal

Credential MSN ANP

Sex Female

Practice address 75 Broad St, 0815, New York, NY, 10004

Phone (718) 391-0611

Enumeration date Jun 5, 2013

Last updated in NPPES Jun 5, 2013

Taxonomy & licenses

364SA2200X Adult Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License 305563 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jaisa Pallickal practice?

The practice location on file with NPPES is in New York, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jaisa Pallickal?

The National Provider Identifier (NPI) for Jaisa Pallickal is 1003254657, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-05.