Individual
JESSICA PERSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
201 W MAIN ST, NIANTIC, CT 06357-1014
(860) 334-8755
Mailing address
47 LAUREL HILL DR, NIANTIC, CT 06357-1536
(860) 334-8755
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12949
CT
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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