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Individual
JESSICA URBAN-JACK
Active
Individual
JESSICA URBAN-JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
006504
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
006504
CT
363LF0000X
Family Nurse Practitioner
006504
CT
Other
Enumeration date
04/12/2016
Last updated
08/18/2022
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