Individual
JENNA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 337-8790
Mailing address
5520 PARK AVENUE, TRUMBULL, CT 06611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102579
CT
363LF0000X
Family Nurse Practitioner
Primary
6670
CT
Other
Enumeration date
08/19/2016
Last updated
06/20/2017
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