Individual
JESSICA M TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 JOLLEY DR STE 301, BLOOMFIELD, CT 06002-4228
(860) 728-6740
Mailing address
224 HARTFORD TPKE, VERNON, CT 06066-4763
(860) 728-6740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4457
CT
Other
Enumeration date
09/19/2013
Last updated
01/25/2024
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