JENNIFER FLYNN APRN NPI 1134172265

NPI Information

NPI: 1134172265
Provider Name: JENNIFER FLYNN, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
139 HAZARD AVE
BUILDING 4 SUITE 14
ENFIELD, CT
ZIP 06082
Phone: (860) 763-0208
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Jennifer Flynn, APRN is a primary care nurse practitioner in Enfield, CT. Jennifer Flynn, APRN NPI is 1134172265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

139 HAZARD AVE
BUILDING 4 SUITE 14
ENFIELD, CT
ZIP 06082-585
Phone: (860) 763-0208
Fax: (860) 763-0224

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	003283	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q57291	MEDICARE UPIN	CONNECTICUT
2	032830	OTHER	CONNECTICUT	CONNECTICARE
3	400003283CT01	OTHER	CONNECTICUT	BLUE CROSS
4	500001592	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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