Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH DETWEILER JACKSON, APRN
ActiveELIZABETH DETWEILER JACKSON, APRN is a Family Nurse Practitioner healthcare provider located in NORWICH, Connecticut. NPI 1902420466 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · NORWICH, CT
Registration Details
- NPI Number
- 1902420466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2020 (6.0153644879077 yrs)
- Last Updated
- Aug 3, 2020
- Licenses
-
132311 (CT)009070 (CT)
Practice Information
- Address
-
42 TOWN ST STE 300NORWICH, CT, 063602339Browse CT providers · Browse ZIP 06360
- Phone
- 8608860567
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in NORWICH, CT
| Name | Credential | NPI |
|---|---|---|
| JEANNINE HAMPTON | APRN | 1366419459 |
| MELISSA ANNE FEDELL | APRN, BC | 1154368074 |
| STACY M MARSH | APRN | 1659433092 |
| MARIANNE P PASCALE | APRN | 1740344407 |
| SAMUEL ELI PECKHAM | APRN | 1447301163 |
| MRS. DONNA M CIVARDI | RNFA, APRN, FNP-BC | 1831230119 |
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.