Individual
JESSICA L PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1347 BOSTON POST RD, MADISON, CT 06443-3475
(203) 779-5207
(203) 779-5792
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2784
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043666
—
CT
Enumeration date
08/07/2012
Last updated
10/27/2016
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