Individual
JACQUELINE DURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
15 MOHEGAN DRIVE, US COAST GUARD ACADEMY REGIONAL CLINIC, NEW LONDON, CT 06320
(860) 444-8327
Mailing address
92 OSPREY DR, GROTON, CT 06340-3132
(912) 467-2983
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
105645
CT
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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