Individual
JESSICA KIBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 RETREAT AVE STE 201, HARTFORD, CT 06106-2528
(860) 246-8568
(860) 493-7798
Mailing address
100 RETREAT AVE STE 201, HARTFORD, CT 06106-2528
(860) 246-8568
(860) 493-7798
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
12.008136
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
8136
CT
Other
Enumeration date
02/21/2019
Last updated
12/16/2025
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