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Individual

JILLIAN MARIE REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
240 INDIAN RIVER RD, ORANGE, CT 06477-3649
(203) 497-3861
Mailing address
240 INDIAN RIVER RD, ORANGE, CT 06477-3649
(203) 414-3625

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7139
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
7139
CT
363LG0600X
Gerontology Nurse Practitioner
7139
CT
363LP2300X
Primary Care Nurse Practitioner
7139
CT

Other

Enumeration date
08/04/2017
Last updated
06/16/2020
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