Individual
MISS JESSIE LOUISE CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7268
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7268
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
003677
CT
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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