Individual provider · Type 1 NPI

Jerezem Sison Fegley, NP

Nurse Practitioner · West Haven, CT

NPI number 1700412111 Active

Practice location

950 Campbell Ave
West Haven, CT 06516-2770

Call (203) 932-5711 Map

Mailing address

555 Willard Ave
Newington, CT 06111-2631

Other practice locations

555 Willard Ave, Newington, CT 06111-2631 · (860) 666-6951
300 Seymour Ave Ste 202, Derby, CT 06418-1343 · (203) 732-2651
117 Foote Ave, Jamestown, NY 14701-6947 · (716) 338-9200

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	345768 (NY)
Nurse Practitioner Primary	363L00000X	10250 (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…

727 other providers at this address

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About NPI 1700412111

Jerezem Sison Fegley, NP's National Provider Identifier is 1700412111, issued on Mar 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Haven, CT. The record was last updated on Oct 4, 2022.