Jennifer R Avedisian
Nurse Practitioner, Family in Pawcatuck, Connecticut
1245478999- Practice location
- 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354
- Phone
- 860-599-9961
- Fax
- 860-972-7040
- Last updated
- July 25, 2023
Jennifer Roch Avedisian is a Nurse Practitioner, Family based in Pawcatuck, CT. Jennifer Roch Avedisian practices in Pawcatuck, CT. The NPI Number for Jennifer Roch Avedisian is 1245478999 and holds a License No. APRN00993 (RI). The current practice location address for Jennifer Roch Avedisian is 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354 and can be reached out via phone at 860-599-9961 and via fax at 860-972-7040.
Provider Profile Details
- NPI Number
- 1245478999
- Provider Name
- Jennifer Roch Avedisian
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354
- Phone Number
- 860-599-9961
- Fax Number
- 860-972-7040
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2009
- Last Update Date
- July 25, 2023
- Certification Date
- July 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Liberty St Ste 102
Pawcatuck, CT 06379-1354 - City
- Pawcatuck
- State
- Connecticut
- Zip
- 06379-1354
- Phone Number
- 860-599-9961
- Fax Number
- 860-972-7040
Provider Business Mailing Address Details
- Address
- 3461 S County Trl Ste 301
East Greenwich, RI 02818-1463 - City
- East Greenwich
- State
- RI
- Zip
- 02818-1463
- Phone Number
- 401-471-6760
License Information
- License Number (1)
- APRN00993
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 12089
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer R Avedisian?
The NPI number of Jennifer R Avedisian is 1245478999. It was assigned on February 2, 2009 and is currently active in the NPPES registry.
What is the specialty of Jennifer R Avedisian?
Jennifer R Avedisian is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN00993.
Where does Jennifer R Avedisian practice?
The practice location is 350 Liberty St Ste 102, Pawcatuck, CT 06379-1354. The office can be reached at 860-599-9961 (phone) or 860-972-7040 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245478999 directly on the NPPES registry website.