Individual
JESSICA GAMBARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1 AUDUBON ST, NEW HAVEN, CT 06511-6433
(203) 562-7662
Mailing address
96 HATTERTOWN RD, NEWTOWN, CT 06470-2449
(631) 806-7566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8594
CT
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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