| Jennifer Briggs, APRN | |
|
146 Main Street, Somers, CT 06071-1825 | |
| (860) 749-8018 | |
| (860) 316-4015 |
| Full Name | Jennifer Briggs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 146 Main Street, Somers, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255878773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6873 (Connecticut) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 6873 (Connecticut) | Primary |
| Entity Name | Stafford Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518098698 PECOS PAC ID: 0941100291 Enrollment ID: O20040112000217 |
| Entity Name | Medical Care Center Of East Hartford Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275785214 PECOS PAC ID: 5698836344 Enrollment ID: O20081212000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Briggs, APRN 146 Main St, Somers, CT 06071-1825 Ph: (860) 749-8018 | Jennifer Briggs, APRN 146 Main Street, Somers, CT 06071-1825 Ph: (860) 749-8018 |
Stacey Susienka Hayward, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Heron Dr, Somers, CT 06071 Phone: 508-887-2199 | |
Mr. John Edward Tyree, RN ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 292 Stafford Rd, Somers, CT 06071 Phone: 512-426-7579 | |
Suzanne Marie Viger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Main St, Somers, CT 06071 Phone: 860-749-8018 Fax: 860-316-4015 |