Individual
JACQUELINE MARIE HENNIGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
79 WAWECUS ST STE 103, NORWICH, CT 06360-2173
(860) 886-1862
(860) 886-2046
Mailing address
79 WAWECUS ST STE 103, NORWICH, CT 06360-2173
(860) 886-1862
(860) 886-2046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11895
CT
Other
Enumeration date
05/04/2023
Last updated
07/17/2024
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