Individual
SHERIEFFA NICOLA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 790-9428
Mailing address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 467-1907
(860) 718-9509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12246
CT
Other
Enumeration date
08/16/2023
Last updated
08/01/2024
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