Individual
MRS. JESSICA PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
16 COBBLESTONE DR, GROTON, CT 06340-3853
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12.006611
CT
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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