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JENNA ADDISON
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1649725656
Individual Registrant: JENNA ADDISON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5520 PARK AVE TRUMBULL, CT 06611-3463 US
Tel: 203-337-8790 Fax: --
Tel: 203-337-8790 Fax: --
Contact information for business:
5520 PARK AVENUE TRUMBULL, CT 06611 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1649725656
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | CT | 102579 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CT | 6670 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
