Jennie B Nally, MD
Dermatology in Norwalk, Connecticut
1548454622- Practice location
- 761 Main Ave, Suite 102, Norwalk, CT 06851-1080
- Phone
- 203-810-4151
- Fax
- 203-810-4150
- Last updated
- May 21, 2009
Jennie B Nally is a Dermatology based in Norwalk, CT. Jennie B Nally practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Jennie B Nally is 1548454622 and holds a License No. 045804 (CT). The current practice location address for Jennie B Nally is 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 and can be reached out via phone at 203-810-4151 and via fax at 203-810-4150.
Provider Profile Details
- NPI Number
- 1548454622
- Provider Name
- Jennie B Nally
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 761 Main Ave, Suite 102, Norwalk, CT 06851-1080
- Phone Number
- 203-810-4151
- Fax Number
- 203-810-4150
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Other Names
- -- Jennie Bailey (Former Name)
- Provider Enumeration Date
- August 30, 2007
- Last Update Date
- May 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 761 Main Ave
Suite 102
Norwalk, CT 06851-1080 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-1080
- Phone Number
- 203-810-4151
- Fax Number
- 203-810-4150
Provider Business Mailing Address Details
- Address
- 761 Main Ave
Suite 102
Norwalk, CT 06851-1080 - City
- Norwalk
- State
- CT
- Zip
- 06851-1080
- Phone Number
- 203-810-4151
- Fax Number
- 203-810-4150
License Information
- License Number
- 045804
- License State
- CT
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Norwalk, CT
View all Dermatology providers in Norwalk →Frequently Asked Questions
What is the NPI number of Jennie B Nally, MD?
The NPI number of Jennie B Nally, MD is 1548454622. It was assigned on August 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennie B Nally, MD?
Jennie B Nally, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 045804.
Where does Jennie B Nally, MD practice?
The practice location is 761 Main Ave, Suite 102, Norwalk, CT 06851-1080. The office can be reached at 203-810-4151 (phone) or 203-810-4150 (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 1548454622 directly on the NPPES registry website.