Individual
MS. CHERYL L JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790
Mailing address
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000761 APRN
CT
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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