Individual
JESSICA A KELLY-HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7645
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
7645
CT
Other
Enumeration date
05/16/2018
Last updated
07/29/2019
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