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JENNIFER L TAYLOR A.P.R.N.
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1104860642
Individual Registrant: JENNIFER L TAYLOR A.P.R.N.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
23 LIBERTY DR SUITE A HEBRON, CT 06248-1553 US
Tel: 860-228-1119 Fax: 860-228-4314
Tel: 860-228-1119 Fax: 860-228-4314
Contact information for business:
23 LIBERTY DR SUITE A HEBRON, CT 06248-1553 US
Tel: 860-228-1119 Fax: 860-228-4314
Tel: 860-228-1119 Fax: 860-228-4314
Registration Information:
NPI: 1104860642
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CT | 002986 |
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CT | 002986 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004253019 | CT | 05 |
