Individual
MRS. JORDANA KELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, FNP-BC
Contact information
Practice address
1 DARLING DR, AVON, CT 06001-4277
(203) 691-9899
Mailing address
1 DARLING DR, AVON, CT 06001-4277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10950
CT
Other
Enumeration date
09/02/2022
Last updated
02/26/2025
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