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Jonathan Dodard
Family Nurse Practitioner in Ridgefield, Connecticut
NPI 1245099175

Jonathan Dodard is a Family Nurse Practitioner based in Ridgefield, CT and is specialized in Family. Jonathan Dodard practices in Ridgefield, CT. The NPI Number for Jonathan Dodard is 1245099175 and holds a License No. 12993 (Connecticut).

The current practice location address for Jonathan Dodard is 2 Teaberry Ln Unit 2, Ridgefield, CT and can be reached out via phone at 857-417-5294.

Location: 2 Teaberry Ln Unit 2, Ridgefield, CT, 06877-3349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245099175
Provider Name
Jonathan Dodard
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Teaberry Ln Unit 2, Ridgefield, CT, 06877-3349
Phone Number
857-417-5294
Fax Number
Provider Enumeration Date
03/14/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2 Teaberry Ln Unit 2
City
Ridgefield
State
Connecticut
Zip
06877-3349
Phone Number
857-417-5294
Fax Number
person
Provider Business Mailing Address Details
Address
2 Teaberry Ln Unit 2
City
Ridgefield
State
Connecticut
Zip
06877-3349
Phone Number
857-417-5294
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
12993 (Connecticut)
Definition
Definition to come...
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