Jerezem S Fegley, NP
Nurse Practitioner in West Haven, Connecticut
1700412111- Practice location
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- October 4, 2022
Jerezem Sison Fegley is a Nurse Practitioner based in West Haven, CT. Jerezem Sison Fegley practices in West Haven, CT and has the professional credentials of NP. The NPI Number for Jerezem Sison Fegley is 1700412111 and holds a License No. 345768 (NY). The current practice location address for Jerezem Sison Fegley is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1700412111
- Provider Name
- Jerezem Sison Fegley
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 17, 2020
- Last Update Date
- October 4, 2022
- Certification Date
- July 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 555 Willard Ave
Newington, CT 06111-2631 - City
- Newington
- State
- CT
- Zip
- 06111-2631
- Phone Number
- 860-666-6951
License Information
- License Number (1)
- 345768
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 10250
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · 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 Jerezem S Fegley, NP?
The NPI number of Jerezem S Fegley, NP is 1700412111. It was assigned on March 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Jerezem S Fegley, NP?
Jerezem S Fegley, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number 345768.
Where does Jerezem S Fegley, NP practice?
The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
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 1700412111 directly on the NPPES registry website.