Individual
JESSICA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8400
Mailing address
25 SANDY LN, BURLINGTON, VT 05408-2541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0134677
VT
363L00000X
Nurse Practitioner
Primary
101.0136064
VT
Other
Enumeration date
01/11/2023
Last updated
04/14/2023
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