Individual
JENNIFER SAMUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
108 GORDON LN, EAST HARTFORD, CT 06118-2224
(860) 338-6517
Mailing address
108 GORDON LN, EAST HARTFORD, CT 06118-2224
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13195
CT
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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