Individual provider · Type 1 NPI

Jenna Addison

Family Nurse Practitioner · Trumbull, CT

NPI number 1649725656 Active

Practice location

5520 Park Ave
Trumbull, CT 06611-3463

Mailing address

5520 Park Avenue
Trumbull, CT 06611

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X102579 (CT)
Family Nurse Practitioner Primary 363LF0000X6670 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1649725656

Jenna Addison's National Provider Identifier is 1649725656, issued on Aug 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Trumbull, CT. The record was last updated on Jun 20, 2017.