JACQUELINE DURNELL


Address: 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320
Phone: 8604448327

JACQUELINE DURNELL (NPI# 1295137263) 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) 1295137263
Entity Type Individual
Full Name JACQUELINE DURNELL
Credential RN-BC
Practice Address 15 Mohegan Drive
Us Coast Guard Academy Regional Clinic
New London
CT 06320
Mailing Address 92 Osprey Dr
Groton
CT 06340-3132
Practice Telephone 8604448327
Mailing Telephone 9124672983
Enumeration Date 2014-09-22
Last Update Date 2014-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
105645 CT Nursing Service Providers

Office Location

Street Address 15 MOHEGAN DRIVE
US COAST GUARD ACADEMY REGIONAL CLINIC
City NEW LONDON
State CT
Zip Code 06320

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1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
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1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
1942474739 Allyson Abo Salek Pediatrics 53-c Granite Street, New London, CT 06320 2008-04-14
Find all providers in zip 06320

Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770192726 Elina Tannenbaum Registered Nurse 41 Brewster Rd, Bristol, CT 06010-5161 2020-07-27
1215546163 Lesley O'connell Registered Nurse 208 Post Rd W, Westport, CT 06880-4623 2020-07-27
1013257716 Maureen Oconnor Registered Nurse 105 Elm St, Guilford, CT 06437-1030 2013-02-18
1104001635 Susan Mary Sharkey Registered Nurse 950 Campbell Ave, West Haven, CT 06516-2770 2008-01-03
1437284395 Susan B Kohn Registered Nurse 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 2007-02-22
1689654394 Ted Ubina Pagulayan Registered Nurse 1 Wahoo Ave, Groton, CT 06340-2324 2006-01-19

Competitor

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City NEW LONDON
Zip Code 06320

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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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