Individual
JENNELL IFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 NORTH ST, WINDSOR LOCKS, CT 06096-1229
(860) 218-0000
Mailing address
350 NORTH ST, WINDSOR LOCKS, CT 06096-1229
(860) 967-9521
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
83247
CT
172V00000X
Community Health Worker
83247
CT
Other
Enumeration date
03/21/2024
Last updated
05/08/2024
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