MRS. JENNIFER MARY WATERS NP NPI 1356809222

NPI Information

NPI: 1356809222
Provider Name: MRS. JENNIFER MARY WATERS, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
20 YORK ST
NEW HAVEN, CT
ZIP 06510
Phone: (203) 560-0206
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MRS. Jennifer Mary Waters, NP is a gerontology nurse practitioner in New Haven, CT with 6 years of experience. MRS. Jennifer Mary Waters, NP NPI is 1356809222. 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:

20 YORK ST
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 560-0206

The NPI 1356809222 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 3/8/2019 and was last updated on 11/6/2019.

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	363L00000X	Nurse Practitioner		8125	CONNECTICUT	No
2	363LG0600X	Nurse Practitioner	Gerontology	8125	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: 4/28/2024

NPI Synchronization or Removal

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