Individual
JENNIFER LEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-8954
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-8954
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001718
CT
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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