Individual
ISMAELE LING JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
20 YORK ST, NP4-202, NEW HAVEN, CT 06510-3220
(203) 200-4822
(203) 200-2099
Mailing address
20 YORK ST, NP4-202, NEW HAVEN, CT 06510-3220
(203) 200-4822
(203) 200-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5195
CT
363L00000X
Nurse Practitioner
SP012496
PA
Other
Enumeration date
01/27/2013
Last updated
10/24/2013
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