Individual
JESSICA SHANK-COVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
46 PRINCE ST, NEW HAVEN, CT 06519-1600
(203) 867-5300
(203) 867-5312
Mailing address
68 BRITTANY DR, DURHAM, CT 06422-1100
(860) 349-8474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001138
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
001138
CT
Other
Enumeration date
03/29/2007
Last updated
12/17/2012
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