Individual provider · Type 1 NPI
Jordan Ficocelli
Family Nurse Practitioner · New Haven, CT
NPI number
1255819348
Active
Practice location
800 Howard Ave # 2
New Haven, CT 06519
Mailing address
254 Mica Hill Rd
Durham, CT 06422-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12.007724 (CT) |
| Nurse Practitioner | 363L00000X | 12.007724 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255819348
Jordan Ficocelli's National Provider Identifier is 1255819348, issued on Aug 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Aug 16, 2018.