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Individual

JESSICA LUCARELLI-RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5708
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 509-3732

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6968
CT

Other

Enumeration date
03/10/2017
Last updated
06/09/2017
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