MISS JENNIFER L. HARDY (NPI# 1730370669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730370669 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER L. HARDY |
| Other Name | JENNIFER L. MALBOEUF |
| Credential | APRN |
| Practice Address |
200 Sandy Hollow Rd Mystic CT 06355-1744 |
| Practice Telephone | 8605720402 |
| Practice Fax Number | 8605727758 |
| Mailing Telephone | 8605720402 |
| Mailing Fax Number | 8605727758 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003631 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT. STATE APRN LICENSE | 003631 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629322623 | Jennifer Ann Hardy | Licensed Practical Nurse | 61 Roland Street, Sloan, NY 14212-2306 | 2012-10-30 |
| 1740255421 | Jennifer Booth Hardy | Pharmacist | 19550 Governors Highway, Suite 1100, Flossmoor, IL 60422 | 2006-02-17 |
| 1972014520 | Jennifer L Hardy | Registered Nurse | 2845 Se 3rd Ct, Ocala, FL 34471-0444 | 2017-10-22 |
| 1962751339 | Jennifer Ann Hardy | Psychologist | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2012-08-31 |
| 1669767141 | Jennifer L. Hardy | Pharmacist | 900 S Us Highway 27, Saint Johns, MI 48879-2436 | 2011-06-13 |
| 1598064065 | Jennifer Hardy | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2011-03-22 |
| 1871760744 | Jennifer K. Hardy | Marriage & Family Therapist | 3480 Buskirk Ave Ste 210, Pleasant Hill, CA 94523-4304 | 2008-05-09 |
| 1497933113 | Jennifer Louise Hardy | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2008-02-05 |
| 1457540197 | Jennifer Lynn Hardy | Physician Assistant | 400 N Pepper Ave, Surgery Department, Colton, CA 92324-1801 | 2007-10-18 |
| 1407903206 | Jennifer Calvert Hardy | Pediatrics | 706 Turtle Creek Dr, Tyler, TX 75701-1833 | 2007-01-04 |
| Street Address |
200 SANDY HOLLOW RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710210 | Thomas March Blum | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| 1326076795 | Prior Lewis Parker | Ophthalmology | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2006-06-28 |
| 1780679472 | James Francis Sullivan | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-19 |
| 1194710269 | James David Scarles | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1821083999 | Warren Lewis Fields | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1902891070 | Mystic Medical Group, PC | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1346235462 | Rosemary Catherine Bontempi | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| 1336134451 | Howard Brensilver | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871689679 | Elena Schjavland | Nurse Practitioner | 20 Burrows St, Keys2memory, LLC, Mystic, CT 06355-2445 | 2006-10-05 |
| 1043567647 | Keys2memory, LLC | Nurse Practitioner | 20 Burrows St, Mystic, CT 06355-2445 | 2012-08-14 |
| 1114943214 | Mary Ellen Pagnozzi | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
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| 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.