Brackett, Jennifer Lynn

Brackett, Jennifer Lynn is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brackett, Jennifer Lynn can be contacted via phone (203) 503-3250.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001926 Connecticut

Profile Details

NPI number 1942279773
LBN Legal business name Brackett, Jennifer Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 12th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942279773 NPPES
Connecticut MEDICAID 004235900

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