# JACQUELYN MEYER APRN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104533744
- **Authorized official:** JACQUELYN MEYER APRN (OWNER)
- **Authorized official phone:** (203) 232-8149

## Contact information

- **Practice address:** 816 BROAD ST STE 23, MERIDEN, CT 06450-4350
- **Practice address phone:** (203) 232-8149
- **Mailing address:** 5 BOULDERBROOK CT \# 58, PROSPECT, CT 06712-1074
- **Mailing address phone:** (203) 232-8149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022