Individual
JOANNA R FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 PALISADE AVE, BRIDGEPORT, CT 06610-3458
(203) 579-6234
(203) 332-0376
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004898
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
01
—
004898
STATE LICENSE
CT
Enumeration date
06/25/2012
Last updated
03/07/2023
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