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Jessica Difabio, APRN
Primary Care Nurse Practitioner in New Haven, Connecticut
NPI 1508315730

Jessica Difabio is a Primary Care Nurse Practitioner based in New Haven, CT and is specialized in Primary Care. Jessica Difabio practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Jessica Difabio is 1508315730 and holds a License No. 6664 (Connecticut).

The current practice location address for Jessica Difabio is 1 Long Wharf Dr, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 1 Long Wharf Dr, New Haven, CT, 06511-5991
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Provider Profile Details
NPI Number
1508315730
Provider Name
Jessica Difabio
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Long Wharf Dr, New Haven, CT, 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004217099 05 CT
008056033 05 CT
008056168 05 CT
008039745 05 CT
008068420 01 CT SCHEFILITI MEDICAID #
institution
Provider Business Practice Location Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
6664 (Connecticut)
Definition
Definition to come...
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