Individual
MRS. JENNIFER M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
24 STEVENS ST, NORWALK HOSPITAL, NORWALK, CT 06856
(203) 852-2996
(203) 855-3539
Mailing address
671 CEDAR GRV, ORANGE, CT 06477-2174
(203) 852-2996
(203) 855-3539
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002820
CT
Other
Enumeration date
10/18/2006
Last updated
01/13/2014
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