Individual
JENNA LEIGH STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6820
CT
Other
Enumeration date
07/30/2024
Last updated
11/17/2025
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