Individual
MRS. JENNIE CHRISTINE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
455 LEWIS AVE STE 208, MERIDEN, CT 06451-2121
(203) 238-2691
Mailing address
3340 MAIN ST, ROCKY HILL, CT 06067-3806
(860) 402-2260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13569
CT
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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