Individual
JESSICA K HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
147 WESTBROOK RD, ESSEX, CT 06426-1512
(860) 767-8265
(860) 358-8653
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001158
CT
Other
Enumeration date
11/16/2006
Last updated
08/08/2012
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