Kathryn E Jack in Rocky Hill - Nurse Practitioner
Kathryn E Jack - NPI 1265456347
Kathryn E Jack is a Nurse Practitioner in Rocky Hill, Connecticut. Kathryn E Jack practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathryn E Jack is 1265456347. The last update date is 2013-11-05.
Kathryn E Jack's current location address is 2139 Silas Deane Hwy, Rocky Hill, Connecticut. You can contact this provider via phone number 8602574131 and fax number 8602574519. The mailing address for Kathryn E Jack is 2139 Silas Deane Hwy, Rocky Hill, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn E Jack |
|---|---|
| Address | 2139 Silas Deane Hwy, Rocky Hill, Connecticut |
| Phone Number | 8602574131 |
| Fax Number | 8602574519 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1265456347 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2013-11-05 |
Provider Mailing Address Detail
| Address | 2139 Silas Deane Hwy |
|---|---|
| City | Rocky Hill |
| State | Connecticut (CT) |
| Post Code | 60672336 |
| Phone Number | 8602574131 |
| Fax Number | 8602574519 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2455 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4219491 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathryn E Jack by the Centers for Medicare & Medicaid Services (CMS)?
The Kathryn E Jack has been assigned the NPI (National Provider Identifier) 1265456347. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kathryn E Jack's facilities are situated?
The facilities of Kathryn E Jack are physically located at the following address: 2139 Silas Deane Hwy, Rocky Hill, CT, 60672336.
What is Kathryn E Jack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathryn E Jack is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265456347 to Kathryn E Jack?
The Centers for Medicare & Medicaid Services originally issued the 1265456347 to Kathryn E Jack on 2006-07-26.
When was the Kathryn E Jack's information last updated?
The Kathryn E Jack's information was last updated on 2013-11-05.
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