Organization
JACQUELYN MEYER APRN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN MEYER APRN (OWNER)
(203) 232-8149
Entity
Organization
Contact information
Practice address
816 BROAD ST STE 23, MERIDEN, CT 06450-4350
(203) 232-8149
Mailing address
5 BOULDERBROOK CT # 58, PROSPECT, CT 06712-1074
(203) 232-8149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136
APRN LICENSE
CT
Enumeration date
11/02/2022
Last updated
11/02/2022
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