Individual
JODY HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 GOOSE LN, GUILFORD, CT 06437-5101
(203) 458-2097
Mailing address
360 SEA HILL RD, NORTH BRANFORD, CT 06471-1412
(203) 315-1144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002918
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002918
CT
Other
Enumeration date
10/03/2006
Last updated
01/27/2015
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