Revive Center for Health & Wellness, Pllc
NPI #1548917594 in Vernon, Connecticut
Provider Information
- NPI Number
- 1548917594
- Entity Type
- Organization
- Organization Name
- Revive Center for Health & Wellness, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 9, 2022
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 281 HARTFORD TPKE STE 106
- City
- Vernon
- State
- Connecticut
- ZIP Code
- 06066-4760
- Phone
- (860) 375-2227
Authorized Official
- Name
- JENNIFER MARIA SOUSA JEROME, MSN, APRN, FNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (860) 375-2227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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