NPI 1043626997

Jerome C Hailey

Practitioner Community Health Worker Bridgeport, CT

Practice location

Address: 215 Daniels Ave, Bridgeport, CT 06606-1513
Phone: (860) 558-9143

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Connecticut →

Registry record

NPI: 1043626997
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2014
Record last updated: 12 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.