Wilcox, Janine M. A..

Wilcox, Janine M. A.. is an individual health care provider with primary practice located at 30 Hyde Ave Ste 109 , Vernon CT 06066-4503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wilcox, Janine M. A.. can be contacted via phone (860) 454-0303.

Contact Information

Primary practice address
30 Hyde Ave Ste 109 Vernon CT 06066-4503
Phone: (860) 454-0303
Fax: (860) 875-4242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 000821 Connecticut

Profile Details

NPI number 1609841147
LBN Legal business name Wilcox, Janine M. A..
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jun 25th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609841147 NPPES
Connecticut MEDICAID 004235744

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