Individual
JACQUELYNE MICHELLE GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
900 NORTHROP RD, WALLINGFORD, CT 06492-1997
(203) 949-1534
Mailing address
900 NORTHROP RD, WALLINGFORD, CT 06492-1997
(203) 949-1534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
090372
CT
363LF0000X
Family Nurse Practitioner
Primary
5735
CT
Other
Enumeration date
06/09/2014
Last updated
07/23/2021
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