Individual provider · Type 1 NPI

Jo-Ann Deloge, APRN

Nurse Practitioner · New London, CT

NPI number 1174611628 Active

Practice location

391 Ocean Avenue
New London, CT 06320-4717

Fax (860) 437-1231

Mailing address

1290 Silas Deane Hwy, Hhc Cvo Enrollment 1st Floor
Wethersfield, CT 06109

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X002911 (CT)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174611628

Jo-Ann Deloge, APRN's National Provider Identifier is 1174611628, issued on Oct 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New London, CT. The record was last updated on Feb 26, 2020.