Individual
JESSICA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 NEW HAVEN AVE, MILFORD, CT 06460-3398
(203) 877-5634
(973) 669-5722
Mailing address
1 NEW HAVEN AVE, MILFORD, CT 06460-3398
(203) 877-5634
(203) 876-1840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MP00448200
NJ
363A00000X
Physician Assistant
Primary
1240
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
11/16/2005
Last updated
03/16/2022
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