Organization
JD QUALITY NURSE PRACTITIONER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL WALTERS MSN, APRN, PMHNP-BC (APRN)
(475) 238-0639
Entity
Organization
Contact information
Practice address
966 S MAIN ST, PLANTSVILLE, CT 06479-1645
(475) 238-0639
Mailing address
110 OSBORN AVE, NEW HAVEN, CT 06511-2804
(475) 238-0639
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
01/19/2024
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