Individual
MS. JO-ANN DELOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
391 OCEAN AVENUE, NEW LONDON, CT 06320-4717
(860) 447-2489
(860) 437-1231
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT 1ST FLOOR, WETHERSFIELD, CT 06109
(860) 972-6970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004240678
—
CT
Enumeration date
10/10/2006
Last updated
02/26/2020
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