Individual
JEREZEM SISON FEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10250
CT
363LF0000X
Family Nurse Practitioner
345768
NY
Other
Enumeration date
03/17/2020
Last updated
10/04/2022
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