Individual
MISS JACQUELYN AURORA GIANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 DANBURY RD STE 100, WILTON, CT 06897-4405
(203) 845-2200
(203) 847-1940
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8682
(480) 499-8459
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6311
CT
363AS0400X
Surgical Physician Assistant
Primary
—
CT
Other
Enumeration date
08/08/2023
Last updated
03/26/2026
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