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:

Map and Directions

Health care specialties

Specialty	Code	License #	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 13 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

State	Type	Number	Issuer
All States	NPI	1942279773	NPPES
Connecticut	MEDICAID	004235900

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