Individual
JEANNINE M ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
682 E MAIN ST, BRANFORD, CT 06405-2907
(203) 481-5591
Mailing address
53 LAKE RD, NORTH BRANFORD, CT 06471-1254
(203) 464-1369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5457
CT
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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