Individual provider · Type 1 NPI
Jennifer L. Phung, APRN
Family Nurse Practitioner · New Haven, CT
NPI number
1316103542
Active
Practice location
800 Howard Ave
New Haven, CT 06519-1369
Fax (203) 785-2917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 061785 (CT) |
| Family Nurse Practitioner Primary | 363LF0000X | 003868 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316103542
Jennifer L. Phung, APRN's National Provider Identifier is 1316103542, issued on Aug 7, 2008. 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 Feb 21, 2013.