NPI Profile for JENNIFER L CONBOY in WEST HARTFORD, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1295251254 |
|
| Status | Active | |
| Credentials | APRN FNP | |
| Entity | Individual | |
| Enumeration date | 08/21/2017 | |
| Last updated | 10/17/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER L CONBOY
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