Individual
MRS. VANESSA LOUISE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, C-ANP, CDE
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002035
CT
363LP2300X
Primary Care Nurse Practitioner
002035
CT
Other
Enumeration date
05/24/2007
Last updated
12/29/2010
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