Individual
JILLIAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9200
Mailing address
163 LOOMIS DR, WEST HARTFORD, CT 06107-2012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
127269
CT
363LF0000X
Family Nurse Practitioner
Primary
10820
CT
Other
Enumeration date
07/27/2020
Last updated
09/03/2024
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