Individual
JESSIE LAURORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
400 W CAMPUS DR, ORANGE, CT 06477-3646
(774) 826-6019
Mailing address
5 EDWIN ST APT 2, BOSTON, MA 02124-2525
(617) 675-1588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN10016081
MA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/25/2026
Last updated
05/28/2026
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