Individual
JEANNINE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 887-9003
Mailing address
2139 SILAS DEANE HIGHWAY, ROCKY HILL, CT 06067-2336
(860) 257-4131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003178
CT
363LF0000X
Family Nurse Practitioner
Primary
003178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002507654
UNITED
CT
01
—
030178
CONNECTICARE
CT
01
—
400003178CT01
ANTHEM BLUE CROSS BS
CT
01
—
7168022
CIGNA
CT
01
—
AA462740
HARVARD PILGRIM
CT
01
—
P00437185
MEDICARE RAILROAD
CT
01
—
P3599495
OXFORD
CT
Enumeration date
03/07/2006
Last updated
05/18/2017
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