Individual
KATHLEEN D JIMMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2045 DIXWELL AVE, HAMDEN, CT 06514-2405
(866) 389-2727
Mailing address
29 MAPLE ST, APT 304, SEYMOUR, CT 06483-3347
(225) 573-1905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005283
CT
Other
Enumeration date
03/04/2013
Last updated
09/29/2016
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