Jennie Christine Gore, APRN
Nurse Practitioner in Meriden, CT. Individual provider (NPI-1).
NPI number1215757331
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1215757331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennie Christine Gore
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13569 | CT | Yes |
Practice location
455 Lewis Ave Ste 208Meriden, CT 06451-2121
Phone 203-238-2691
Mailing address
3340 Main StRocky Hill, CT 06067-3806
Phone 860-402-2260
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All 16 Nurse Practitioner providers in Meriden · All 1,158 providers in Meriden
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