Individual
JENNA LIGUORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 DIVISION ST., DERBY, CT 06418-1326
(203) 732-7550
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7550
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
096611
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006633
CT
Other
Enumeration date
08/11/2015
Last updated
10/21/2016
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