Individual
MRS. JACQUELINE CASTILLO VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
439 MILL HILL AVE, BRIDGEPORT, CT 06610-2866
(203) 334-2100
Mailing address
439 MILL HILL AVE, BRIDGEPORT, CT 06610-2866
(203) 334-2100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8179
CT
363LF0000X
Family Nurse Practitioner
8179
CT
363LG0600X
Gerontology Nurse Practitioner
8179
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
8179
CT
Other
Enumeration date
04/29/2019
Last updated
08/25/2021
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