Individual
JENELLE DIGIANVITTORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
(203) 262-1831
Mailing address
721 KETTLETOWN RD, SOUTHBURY, CT 06488-4624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7066
CT
Other
Enumeration date
07/13/2017
Last updated
01/11/2021
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