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Jacklyn Obeng, NP
Family Nurse Practitioner in Norwich, Connecticut
NPI 1114328507

Jacklyn Obeng is a Family Nurse Practitioner based in Wethersfield, CT and is specialized in Family. Jacklyn Obeng practices in Norwich, CT and has the professional credentials of NP. The NPI Number for Jacklyn Obeng is 1114328507 and holds a License No. 005901 (Connecticut).

The current practice location address for Jacklyn Obeng is 624 W Main St, Norwich, CT and can be reached out via phone at 860-200-8098.

Location: 624 W Main St, Norwich, CT, 06109-4337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114328507
Provider Name
Jacklyn Obeng
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
624 W Main St, Norwich, CT, 06109-4337
Phone Number
860-200-8098
Fax Number
Provider Enumeration Date
09/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04001781 05 NY
institution
Provider Business Practice Location Address Details
Address
624 W Main St
City
Norwich
State
Connecticut
Zip
06360-6043
Phone Number
860-200-8098
Fax Number
person
Provider Business Mailing Address Details
Address
624 W Main St
City
Norwich
State
Connecticut
Zip
06360-6043
Phone Number
860-200-8098
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
005901 (Connecticut)
Definition
Definition to come...
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