Individual
JESSICA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SALEM TPKE, NORWICH, CT 06360-7403
(860) 886-0023
Mailing address
111 SALEM TPKE STE 8, NORWICH, CT 06360-7403
(860) 204-6866
(860) 886-0024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95153
CT
363L00000X
Nurse Practitioner
Primary
14486
CT
Other
Enumeration date
02/05/2025
Last updated
02/20/2025
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