| Mrs Jennie Christine Gore, APRN | |
|
455 Lewis Ave Ste 208, Meriden, CT 06451-2121 | |
| (203) 238-2691 | |
| Not Available |
| Full Name | Mrs Jennie Christine Gore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 455 Lewis Ave Ste 208, Meriden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215757331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13569 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennie Christine Gore, APRN 3340 Main St, Rocky Hill, CT 06067-3806 Ph: (860) 402-2260 | Mrs Jennie Christine Gore, APRN 455 Lewis Ave Ste 208, Meriden, CT 06451-2121 Ph: (203) 238-2691 |
Marta Fedorko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200 | |
Jeannie Mcintosh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 | |
Brenna Keogh, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677 | |
Jessica M. Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 S Broad St, Meriden, CT 06450 Phone: 203-439-4485 | |
Felistas Mazhandu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Church Hill Chase, Meriden, CT 06450 Phone: 860-797-0572 | |
Miss Itoro Joseph Etim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125 | |
Ingrid Teixeira Furchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125 |