Individual
JACLYN K BIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6177
(203) 576-6146
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7190
CT
363LF0000X
Family Nurse Practitioner
Primary
7190
CT
Other
Enumeration date
08/23/2017
Last updated
02/17/2023
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