Individual provider · Type 1 NPI

Jarese Isiah Eddie

Student in an Organized Health Care Education/Training Program · Middletown, CT

NPI number 1902697865 Active

Practice location

675 Main St
Middletown, CT 06457-2732

Call (860) 347-6971 Map

Fax (860) 343-7379

Mailing address

88 Monroe St
Hartford, CT 06114-1751

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902697865

Jarese Isiah Eddie's National Provider Identifier is 1902697865, issued on May 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, CT. The record was last updated on May 13, 2025.