Medicare Enrollment Information  Individual Name: Jeny John NP Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1073019493 Individual Provider Transaction Access Number (PTAN): 1R3189 Group Legal Business Name (LBN): NORMANDY URGENT CARE CENTER Group NPI: 1407171077 Group PTAN: 396951 Reassignment Effective Date: June 01, 2021 Changed Information: N/A