Individual
DR. SEJA JOYCE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, AAHIVS
Contact information
Practice address
131 COVENTRY ST, HARTFORD, CT 06112-1548
(860) 714-2862
(860) 714-8541
Mailing address
95 WOODBRIDGE RD, GLASTONBURY, CT 06033-2924
(860) 633-5803
(860) 714-8541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001601
CT
Other
Enumeration date
08/10/2007
Last updated
06/24/2021
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