Individual
JENNIFER CASAVANT TELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP, PHD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
127 N WAWECUS HILL RD, NORWICH, CT 06360-4062
(703) 300-2541
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
004321
CT
Other
Enumeration date
06/11/2007
Last updated
11/17/2010
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