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Miss Jessica Shore
Student in an Organized Health Care Education/Training Program in Simsbury, Connecticut
NPI 1184162166

Jessica Shore is a Student in an Organized Health Care Education/Training Program based in Simsbury, CT. Jessica Shore practices in Simsbury, CT. The NPI Number for Jessica Shore is 1184162166 and holds a License No. (Connecticut).

The current practice location address for Jessica Shore is 8 Banks Rd, Simsbury, CT and can be reached out via phone at 860-604-9546.

Location: 8 Banks Rd, Simsbury, CT, 06070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184162166
Provider Name
Jessica Shore
Credential
Provider Entity Type
Individual
Gender
Female
Address
8 Banks Rd, Simsbury, CT, 06070
Phone Number
860-604-9546
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 Banks Rd
City
Simsbury
State
Connecticut
Zip
06070-2302
Phone Number
860-604-9546
Fax Number
person
Provider Business Mailing Address Details
Address
8 Banks Rd
City
Simsbury
State
Connecticut
Zip
06070-2302
Phone Number
860-604-9546
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.
(Massachusetts)
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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