Individual
MISS JESSE MARIE KAVUMPURATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
119 S MAIN ST, COLCHESTER, CT 06415-1456
(866) 389-2727
Mailing address
312 CHAMBERLAIN HWY, KENSINGTON, CT 06037-1926
(860) 828-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005838
CT
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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