Mack, Jessica Ariel

Mack, Jessica Ariel is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mack, Jessica Ariel can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
428 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12.010803 Connecticut

Profile Details

NPI number 1538897558
LBN Legal business name Mack, Jessica Ariel
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2022
Last updated Aug 9th, 2022 - about 4 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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