Kathryn E Jack, APRN
NPI #1265456347 in Meriden, Connecticut
Provider Information
- NPI Number
- 1265456347
- Entity Type
- Individual
- Name
- Kathryn E Jack, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- APRN
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Nov 5, 2013
Practice Location
- Address
- 455 LEWIS AVE
- Address 2
- SUITE 106
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06451-2121
- Phone
- (203) 886-0036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Family — Family |
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