Individual
JASON MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
39 FAIRVIEW ST FL 3, WEST HARTFORD, CT 06119-1809
(860) 309-2141
Mailing address
39 FAIRVIEW ST FL 3, WEST HARTFORD, CT 06119-1809
(860) 309-2141
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12519
CT
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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