Individual
JACQUELINE MARIE DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, SMILOW CANCER HOSPITAL NORTH PAVILION 15TH FLOOR, NEW HAVEN, CT 06510-3220
(203) 200-6615
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-6615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5742
CT
363LF0000X
Family Nurse Practitioner
5742
CT
Other
Enumeration date
06/18/2014
Last updated
03/30/2016
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