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Clarissa Jacknow
Student in an Organized Health Care Education/Training Program in Danbury, Connecticut
NPI 1063116085

Clarissa Jacknow is a Student in an Organized Health Care Education/Training Program based in Danbury, CT. Clarissa Jacknow practices in Danbury, CT. The NPI Number for Clarissa Jacknow is 1063116085 and holds a License No. (Connecticut).

The current practice location address for Clarissa Jacknow is 24 Hospital Ave, Danbury, CT and can be reached out via phone at 203-739-6378.

Location: 24 Hospital Ave, Danbury, CT, 06810-6099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063116085
Provider Name
Clarissa Jacknow
Credential
Provider Entity Type
Individual
Gender
Female
Address
24 Hospital Ave, Danbury, CT, 06810-6099
Phone Number
203-739-6378
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-739-6378
Fax Number
person
Provider Business Mailing Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-739-6378
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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