Individual
MRS. JESSICA ANGELA NICHOLE FETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 253-9593
Mailing address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 253-9593
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2280255
MA
363LF0000X
Family Nurse Practitioner
Primary
003542
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004264529
—
CT
01
—
103542
CONNECTICARE
CT
01
—
1255448155
GHMC GROUP NPI
CT
01
—
3V0058
HEALTH NET
CT
Enumeration date
11/20/2006
Last updated
09/12/2022
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