NPI 1619694684

Tabisha Jackson

Practitioner Phlebotomy Technician New Haven, CT

Practice location

Address: 157 Church St Fl 19, New Haven, CT 06510-2100
Phone: (203) 584-6033

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 21161Y05 (CT)

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Registry record

NPI: 1619694684
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2022
Record last updated: 20 Oct 2022

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.