Walters, Jennifer Ann

Walters, Jennifer Ann is an sole proprietor health care provider with primary practice located at 388 W Center St , Manchester CT 06040-4735. 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. Walters, Jennifer Ann can be contacted via phone (860) 649-1120.

Contact Information

Primary practice address
388 W Center St Manchester CT 06040-4735
Phone: (860) 649-1120
Fax: (860) 645-8541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000373 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1010134298 Vermont

Profile Details

NPI number 1215287917
LBN Legal business name Walters, Jennifer Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2012
Last updated May 18th, 2023 - about last year

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 1215287917 NPPES
Connecticut Other 000373 LICENSE
Connecticut Other 1010134298 LICENSE

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