Colucci, Jennifer A

Colucci, Jennifer A is an individual health care provider with primary practice located at 21 Grand St , Hartford CT 06106-1541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Colucci, Jennifer A can be contacted via phone (860) 550-7500.

Contact Information

Primary practice address
21 Grand St Hartford CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 550-7529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 002805 Connecticut

Profile Details

NPI number 1558364653
LBN Legal business name Colucci, Jennifer A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 24th, 2014 - about 10 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 1558364653 NPPES
Connecticut MEDICAID 004243630

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