Individual
JENNIFER BENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40 TEMPLE ST, SUITE 6C, NEW HAVEN, CT 06510-2715
(203) 785-4085
(203) 785-4937
Mailing address
20 YORK ST, LCI 708, DEPT OF NEUROLOGY, NEW HAVEN, CT 06510-3220
(203) 785-6351
(203) 786-2238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004413
CT
Other
Enumeration date
12/13/2010
Last updated
06/24/2016
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