JENNIFER ELIZABETH OUELLETTE APRN - NPI 1912296419 - Nurse Practitioner in Waterbury, CT

Q: What is Jennifer Ouellette's NPI number?

The NPI number for Jennifer Ouellette is 1912296419. It was assigned to this individual provider in the NPPES registry on April 5, 2011. The provider is also known as Jennifer Elizabeth Elmore.

Q: What is Jennifer Ouellette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Jennifer Elizabeth Ouellette Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ELIZABETH OUELLETTE APRN (NPI 1912296419) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (004621) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1912296419

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER ELIZABETH OUELLETTECredential: APRN

Location Address170 GRANDVIEW AVEWaterbury, CT 06708-2525

Mailing Address170 Grandview AveWaterbury, CT 06708-2525 · (203) 759-3666 · Fax (203) 759-3671

Phone(203) 759-3666

Fax(203) 759-3671

Sole ProprietorNo

Enumeration DateApril 5, 2011

Last NPPES UpdateFebruary 19, 2015

✔ NPI 1912296419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CT · 004621✔ Licensed in CT · 4621

170 GRANDVIEW AVE, Waterbury, CT 06708

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Other Names 1

Former Name (1)Jennifer Elizabeth Elmore

Other Identifiers 3

Medicaid004235976CT

Medicaid008031012CT

Medicare PIN400044144

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FERDINANDO URBANO MD

Internal Medicine (Critical Care Medicine)