MS. JEAN ELIZABETH ENDERLE APRN NPI 1053327999

NPI Information

NPI: 1053327999
Provider Name: MS. JEAN ELIZABETH ENDERLE, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: HARVEST HEALTHCARE LLC

PECOS Registration: Yes

Address:
270 FARMINGTON AVE
#309
FARMINGTON, CT
ZIP 06032
Phone: (860) 677-5570
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MS. Jean Elizabeth Enderle, APRN is a psychiatric/mental health nurse practitioner in Farmington, CT with 44 years of experience. MS. Jean Elizabeth Enderle, APRN NPI is 1053327999. 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:

270 FARMINGTON AVE
#309
FARMINGTON, CT
ZIP 06032-909
Phone: (860) 677-5570
Fax: (860) 677-9570

The NPI 1053327999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/19/2013.

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	363LF0000X	Nurse Practitioner	Family	001303	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	001303	CONNECTICUT	Yes

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: 11/14/2023

NPI Synchronization or Removal

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