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JENNIFER L TAYLOR A.P.R.N.

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

Registrant NPI Number: 1104860642

Individual Registrant:
 JENNIFER L TAYLOR A.P.R.N.
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

Contact information for business:
23 LIBERTY DR SUITE A HEBRON, CT 06248-1553 US
Tel: 860-228-1119  Fax: 860-228-4314

Registration Information:
NPI: 1104860642
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT002986
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT002986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004253019CT05




HEALTH CARE JOBS CT - Page 1



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