JORDAN FICOCELLI

NEW HAVEN, CT
NPI1255819348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  12.007724)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CT  12.007724)
Enumeration Date2018-08-01
Last Update Date2018-08-16
Business Address
JORDAN FICOCELLI
800 HOWARD AVE # 2
NEW HAVEN, CT 06519
Phone number: 203-785-2571
Mailing Address
JORDAN FICOCELLI
254 MICA HILL RD
DURHAM, CT 06422-3311
Phone number: 203-627-4950