Individual
JESSIE R BAUDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP BC
Contact information
Practice address
196 WATERFORD PKWY S STE 306, WATERFORD, CT 06385-1234
(860) 447-2489
(860) 437-1231
Mailing address
196 WATERFORD PKWY S STE 306, WATERFORD, CT 06385-1234
(860) 447-2489
(860) 437-1231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5228
CT
Other
Enumeration date
12/19/2012
Last updated
12/03/2021
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