Active NPIIndividual provider

Jessie R Baudner, ANP BC

Nurse Practitioner, Adult Health in Waterford, Connecticut

NPI Number1881930824
Practice location
196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234
Fax
860-437-1231
Last updated
December 3, 2021

Jessie R Baudner is a Nurse Practitioner, Adult Health based in Waterford, CT. Jessie R Baudner practices in Waterford, CT and has the professional credentials of ANP BC. The NPI Number for Jessie R Baudner is 1881930824 and holds a License No. 5228 (CT). The current practice location address for Jessie R Baudner is 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 and can be reached out via phone at 860-447-2489 and via fax at 860-437-1231.

Provider Profile Details

NPI Number
1881930824
Provider Name
Jessie R Baudner
Credential
ANP BC
Provider Entity Type
Individual
Gender
Female
Address
196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234
Phone Number
860-447-2489
Fax Number
860-437-1231
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Other Names
-- Jessie R Bordeleau (Former Name)
Provider Enumeration Date
December 19, 2012
Last Update Date
December 3, 2021
Certification Date
December 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
196 Waterford Pkwy S Ste 306
Waterford, CT 06385-1234
Zip
06385-1234
Phone Number
860-447-2489
Fax Number
860-437-1231
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
196 Waterford Pkwy S Ste 306
Waterford, CT 06385-1234
City
Waterford
State
CT
Zip
06385-1234
Phone Number
860-447-2489
Fax Number
860-437-1231

License Information

License Number
5228
License State
CT
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jessie R Baudner, ANP BC?

The NPI number of Jessie R Baudner, ANP BC is 1881930824. It was assigned on December 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Jessie R Baudner, ANP BC?

Jessie R Baudner, ANP BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 5228.

Where does Jessie R Baudner, ANP BC practice?

The practice location is 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234. The office can be reached at 860-447-2489 (phone) or 860-437-1231 (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 1881930824 directly on the NPPES registry website.

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