Individual
JENNIFER L PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-7191
(203) 785-2917
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-7191
(203) 785-2917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
061785
CT
363LF0000X
Family Nurse Practitioner
Primary
003868
CT
Other
Enumeration date
08/07/2008
Last updated
02/21/2013
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