Individual
MISS JACQUELINE MARY ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Mailing address
18 CENTENNIAL ST, FOXBORO, MA 02035-2321
(774) 219-6751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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