Individual
JENNIFER B. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
163 QUINNIPIAC AVE, NORTH HAVEN, CT 06473-3623
(203) 927-2191
Mailing address
19 BELMONT RD, NORTH HAVEN, CT 06473-3910
(203) 927-2191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8069
CT
363LG0600X
Gerontology Nurse Practitioner
8069
CT
363LP2300X
Primary Care Nurse Practitioner
AG01190045
CT
Other
Enumeration date
01/10/2019
Last updated
05/27/2021
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