Addison, Jenna

Addison, Jenna is an individual health care provider with primary practice located at 5520 Park Ave , Trumbull CT 06611-3463. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Addison, Jenna can be contacted via phone (203) 337-8790.

Contact Information

Primary practice address
5520 Park Ave Trumbull CT 06611-3463
Phone: (203) 337-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 102579 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6670 Connecticut

Profile Details

NPI number 1649725656
LBN Legal business name Addison, Jenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Jun 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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