NPI 1427451004

Jesse Marie Kavumpurath, APRNFNPBC

Practitioner Family Nurse Practitioner Colchester, CT

Practice location

Address: 119 S Main St, Colchester, CT 06415-1456
Phone: (866) 389-2727
Mailing address: 312 Chamberlain Hwy, Kensington, CT 06037-1926

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 005838 (CT)

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Registry record

NPI: 1427451004
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2014
Record last updated: 26 Sep 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.