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JENNIFER CARTA PONS

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043890890

Individual Registrant:
 JENNIFER CARTA PONS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
54 E HIGH ST  EAST HAMPTON, CT 06424-1052 US
Tel: 860-267-6853  Fax: --

Contact information for business:
54 E HIGH ST  EAST HAMPTON, CT 06424-1052 US
Tel: --  Fax: --

Registration Information:
NPI: 1043890890
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT9525

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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