Individual
JAMIKA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-4166
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11956
CT
363LF0000X
Family Nurse Practitioner
343774
NY
Other
Enumeration date
02/23/2019
Last updated
12/16/2025
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