Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN E JACK, APRN
ActiveKATHRYN E JACK, APRN is a Adult Health Nurse Practitioner healthcare provider located in MERIDEN, Connecticut. NPI 1265456347 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MERIDEN, CT
Registration Details
- NPI Number
- 1265456347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2006 (20.046868434096 yrs)
- Last Updated
- Nov 5, 2013
- Licenses
-
002455 (CT)002455 (CT)002455 (CT)
Practice Information
- Address
-
455 LEWIS AVESUITE 106MERIDEN, CT, 064512121Browse CT providers · Browse ZIP 06451
- Phone
- 2038860036
- Fax
- 2038860072
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in MERIDEN, CT
| Name | Credential | NPI |
|---|---|---|
| ELAINE G DONOVAN | APRN | 1467548289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.