Jencks, Priscilla

Jencks, Priscilla is an individual health care provider with primary practice located at 374 Grand Ave Fair Haven Community Health Ctr, New Haven CT 06513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jencks, Priscilla can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave Fair Haven Community Health Ctr New Haven CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000071 Connecticut

Profile Details

NPI number 1174627236
LBN Legal business name Jencks, Priscilla
Credentials LNM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174627236 NPPES
Other 0000254189301 UNITED HEALTHCARE
Other 0000719734 UNITED HEALTHCARE
Other P3597631 UNITED HEALTHCARE
Other 400000071CT01 UNITED HEALTHCARE

Popular Providers