Individual
JENNY ANN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(860) 246-2071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002233
CT
363AM0700X
Medical Physician Assistant
002233
CT
363AS0400X
Surgical Physician Assistant
Primary
002233
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003022332
—
CT
Enumeration date
02/19/2009
Last updated
05/24/2019
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