Jenna Sheppard, | |
2150 Corbin Ave, New Britain, CT 06053-2266 | |
(860) 223-2761 | |
Not Available |
Full Name | Jenna Sheppard |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2150 Corbin Ave, New Britain, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437826252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10139 (Connecticut) | Primary |
Entity Name | Shoreline Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609177815 PECOS PAC ID: 9335399484 Enrollment ID: O20121025000456 |
Entity Name | Shoreline Wellness Behavioral Health Outreach Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144723305 PECOS PAC ID: 1951796119 Enrollment ID: O20220325000121 |
Mailing Address | Practice Location Address |
---|---|
Jenna Sheppard, 2150 Corbin Ave, New Britain, CT 06053-2266 Ph: (860) 223-2761 | Jenna Sheppard, 2150 Corbin Ave, New Britain, CT 06053-2266 Ph: (860) 223-2761 |
Jason Manto, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Kevin Jimenez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5900 | |
Ms. Vittoria Cappuccia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Pramela Singson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Lafayette St, New Britain, CT 06051 Phone: 860-224-3642 | |
Mrs. Rosa Maria Kleinberg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 | |
Susan Dagostino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Hart St, New Britain, CT 06052 Phone: 860-229-0100 Fax: 860-225-2647 | |
Dorothy Forsyth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Winthrop St, New Britain, CT 06052 Phone: 860-224-6968 |