NPI 1083322929

Jenna Carolyn Phenicie, PAC

Practitioner Physician Assistant Middletown, CT

Practice location

Address: 520 Saybrook Rd # 100b, Middletown, CT 06457-4700
Phone: (860) 347-8850

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1083322929
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2022
Record last updated: 12 Jan 2024

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.