Individual
JENNIFER CLARK-CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-4176
Mailing address
336 SHREWSBURY ST, WORCESTER, MA 01604-4647
(508) 368-7890
(508) 796-8111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4999
MA
363AM0700X
Medical Physician Assistant
2846
CT
Other
Enumeration date
10/23/2012
Last updated
12/08/2021
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