MS. JENNIFER L NELSON


Address: 111 Goose Ln, Suite 2400, Guilford, CT 06437-5101
Phone: 2034582097

MS. JENNIFER L NELSON (NPI# 1164409587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164409587
Entity Type Individual
Full Name MS. JENNIFER L NELSON
Credential APRN
Practice Address 111 Goose Ln
Suite 2400
Guilford
CT 06437-5101
Practice Telephone 2034582097
Practice Fax Number 2034581592
Mailing Telephone 2034582097
Mailing Fax Number 2034581592
Enumeration Date 2005-12-28
Last Update Date 2010-02-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
003304 CT Physician Assistants & Advanced Practice Nursing Providers

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1417325531 Jennifer Ashley Nelson Physical Therapist 1186 Fischer Blvd, Toms River, NJ 08753-3063 2015-09-05
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Office Location

Street Address 111 GOOSE LN
SUITE 2400
City GUILFORD
State CT
Zip Code 06437-5101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982692794 Thomas E Verdone Specialist 111 Goose Ln, Guilford, CT 06437-5101 2005-10-06
1417509225 Kejal Amin Pharmacist 111 Goose Ln, Guilford, CT 06437-5101 2019-07-11
1841462488 Ssc II LLC Clinic/Center 111 Goose Ln, Guilford, CT 06437-5101 2008-03-24
1124299664 Sarah Elizabeth Rogers Physical Therapist 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 2008-03-12
1861673691 Daniel M Greif Internal Medicine 111 Goose Ln, Guilford, CT 06437-5101 2007-11-20
1386836849 Alvin Donald Greenberg Specialist 111 Goose Ln, Ste 2300, Guilford, CT 06437-5101 2007-08-17
1124247325 Cheryl Lea Robaczynski Dietitian, Registered 111 Goose Ln, Ynhh Shoreline Medical Center, Guilford, CT 06437-5101 2007-04-25
1538388350 Susann Caroline Boroczky Dietitian, Registered 111 Goose Ln, Guilford, CT 06437-5101 2007-04-24
1891918850 Yale New Haven Hospital Dietitian, Registered 111 Goose Ln, Office #1806, Guilford, CT 06437-5101 2007-04-10
1043305402 Jody Heffernan Nurse Practitioner 111 Goose Ln, Guilford, CT 06437-5101 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275012148 Guilford Holistic Health Practitioners, LLC Clinic/Center 5 Durham Rd Ste B6, Guilford, CT 06437 2018-08-10
1043738594 Stephanie Rose Weady Physical Therapist 753 Boston Post Road Suite 101, Guilford, CT 06437 2017-09-05
1104221019 Holistic Psychotherapy Social Worker 35 Boston St., Guilford, CT 06437 2014-11-04
1083030332 Frank Edward West Marriage & Family Therapist 17 E. River Rd, Guilford, CT 06437 2014-03-11
1063845188 Stephanie Gerrish O'sullivan Health Educator 623 Village Walk, Guilford, CT 06437 2013-08-13
1205279247 Jared Macklin Internal Medicine 800 Boston Post Rd Ste 201, Guilford, CT 06437 2013-04-09
1821364019 Elan Gorshein Internal Medicine Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 2012-04-01
1740411396 Denise Lewis Roberts Social Worker 2 Guile Road, Guilford, CT 06437 2009-07-30
1487882437 Bryce E Mcmanus Chiropractor 133 State Street, Guilford, CT 06437 2009-06-29
1215139654 Eleanor D Weissberg Pediatrics 64 Prospect Ave, Guilford, CT 06437 2007-06-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1962871574 Nikki Rasmussen Nurse Practitioner 1010 Village Walk, Guilford, CT 06437-2758 2015-09-24
1285035303 Timothy Rausch Nurse Practitioner 1591 Boston Post Rd Ste 100, Guilford, CT 06437-4335 2014-09-08
1457541773 Susan C. Chessa Nurse Practitioner 3 Park St, Guilford, ME 04443 2007-08-01
1437765021 Christiana L Bredeweg Nurse Practitioner 1057 Boston Post Rd Ste 2, Guilford, CT 06437-2672 2020-09-18
1053945204 Meghan Killilea Galli Nurse Practitioner 1057 Boston Post Rd Ste 2, Guilford, CT 06437-2672 2020-02-26
1356836571 Briana Martell Nurse Practitioner 3 Park St, Guilford, ME 04443-6383 2018-06-29
1972976553 Susan Elles Nurse Practitioner 1057 Boston Post Rd, Guilford, CT 06437-2644 2015-11-04
1801212311 Visiting Nurse Association Community Healthcare Inc Nurse Practitioner 753 Boston Post Rd, Suite 200, Guilford, CT 06437-2749 2014-03-07
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Competitor

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City GUILFORD
Zip Code 06437

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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