Individual
JIWAN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 696-5520
(860) 522-3951
Mailing address
138 COLLEGE ST APT 318, MIDDLETOWN, CT 06457-3490
(917) 922-8852
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15811
CT
Other
Enumeration date
09/01/2025
Last updated
12/16/2025
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