Individual
JENNIFER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 S MAIN ST, CHESHIRE, CT 06410-3420
(475) 244-6051
Mailing address
1008 S MAIN ST, CHESHIRE, CT 06410-3420
(774) 289-9838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.016140
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
11/18/2025
Last updated
02/18/2026
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