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Individual

MS. JENNIFER L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
220 MAIN ST STE 1A, OXFORD, CT 06478-1065
(203) 888-5527
(203) 888-3727
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-7325

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3304
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
3304
CT
363LF0000X
Family Nurse Practitioner
003304
CT

Other

Enumeration date
12/28/2005
Last updated
01/27/2022
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