Individual
JESSYCA LYN AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2165 DIXWELL AVE, HAMDEN, CT 06514-2116
(203) 248-2727
(203) 691-9673
Mailing address
2928 MAIN STREET, SUITE 101, GLASTONBURY, CT 06033
(860) 430-1246
(203) 905-6824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002491
CT
363AM0700X
Medical Physician Assistant
Primary
002491
CT
Other
Enumeration date
11/15/2010
Last updated
07/21/2022
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