Individual provider · Type 1 NPI

Diane Marie Jelen, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1255590006 Active

Practice location

114 Woodland St, Hoffman Heart Institute
Hartford, CT 06105-1208

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X204 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1255590006

Diane Marie Jelen, PA-C's National Provider Identifier is 1255590006, issued on Jun 6, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Jun 6, 2008.