Individual
JENNIFER A COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7529
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7529
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
002805
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243630
—
CT
Enumeration date
05/23/2005
Last updated
01/24/2014
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