Individual
JENNA WOODALL BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MAIN ST # 2, DEEP RIVER, CT 06417-1756
(860) 526-1756
Mailing address
156 WILLOW ST APT 1, NEW HAVEN, CT 06511-2673
(203) 249-1361
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
12.010268
CT
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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