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Kathryn E Jack, APRN
Family Nurse Practitioner in Meriden, Connecticut
NPI 1265456347

Kathryn E Jack is a Family Nurse Practitioner based in Rocky Hill, CT and is specialized in Family. Kathryn E Jack practices in Meriden, CT and has the professional credentials of APRN. The NPI Number for Kathryn E Jack is 1265456347 and holds a License No. 002455 (Connecticut).

The current practice location address for Kathryn E Jack is 455 Lewis Ave, Meriden, CT and can be reached out via phone at 203-886-0036 and via fax at 203-886-0072.

Location: 455 Lewis Ave, Meriden, CT, 06067-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265456347
Provider Name
Kathryn E Jack
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
455 Lewis Ave, Meriden, CT, 06067-2336
Phone Number
203-886-0036
Fax Number
203-886-0072
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004219491 05 CT
institution
Provider Business Practice Location Address Details
Address
455 Lewis Ave
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-886-0036
Fax Number
203-886-0072
person
Provider Business Mailing Address Details
Address
455 Lewis Ave
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-886-0036
Fax Number
203-886-0072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
002455 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
002455 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
002455 (Connecticut)
Definition
Definition to come...
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