Individual
JEANNE NICOLE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 LAKEWOOD CIR, SOUTH GLASTONBURY, CT 06073-2312
(860) 633-9223
Mailing address
98 LAKEWOOD CIR, SOUTH GLASTONBURY, CT 06073-2312
(860) 633-9223
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
110426
CT
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
110426
CT
163WS0200X
School Registered Nurse
110426
CT
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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