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Felisha Mack
Family Nurse Practitioner in Bridgeport, Connecticut
NPI 1851805832

Felisha Mack is a Family Nurse Practitioner based in Bridgeport, CT and is specialized in Family. Felisha Mack practices in Bridgeport, CT. The NPI Number for Felisha Mack is 1851805832 and holds a License No. 007383 (Connecticut).

The current practice location address for Felisha Mack is 1635 Central Ave, Bridgeport, CT and can be reached out via phone at 475-439-9331.

Location: 1635 Central Ave, Bridgeport, CT, 06610-2717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851805832
Provider Name
Felisha Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1635 Central Ave, Bridgeport, CT, 06610-2717
Phone Number
475-439-9331
Fax Number
Provider Enumeration Date
11/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1635 Central Ave
City
Bridgeport
State
Connecticut
Zip
06610-2717
Phone Number
475-439-9331
Fax Number
person
Provider Business Mailing Address Details
Address
1635 Central Ave
City
Bridgeport
State
Connecticut
Zip
06610-2717
Phone Number
475-439-9331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
007383 (Connecticut)
Definition
Definition to come...
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