Hardy, Jennifer L.

Hardy, Jennifer L. is an individual health care provider with primary practice located at 200 Sandy Hollow Rd , Mystic CT 06355-1744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hardy, Jennifer L. can be contacted via phone (860) 572-0402.

Contact Information

Primary practice address
200 Sandy Hollow Rd Mystic CT 06355-1744
Phone: (860) 572-0402
Fax: (860) 572-7758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003631 Connecticut

Profile Details

NPI number 1730370669
LBN Legal business name Hardy, Jennifer L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Sep 22nd, 2014 - about 12 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 1730370669 NPPES
Connecticut Other 003631 CT. STATE APRN LICENSE

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