Individual
JADE PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
79 WAWECUS ST, NORWICH, CT 06360-2160
(860) 886-2679
Mailing address
40 ELMWOOD ST., OLD SAYBROOK, CT 06475
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
00585851
CT
Other
Enumeration date
08/15/2014
Last updated
10/08/2020
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