Individual
MELISSA JENKINS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 836-5416
Mailing address
228 E BASS LN, SUFFIELD, CT 06078-1956
(860) 836-5416
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
124342
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
8747
CT
Other
Enumeration date
07/23/2019
Last updated
04/14/2022
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