Jessica M Champagne, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Milford, CT
NPI 1144725482 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1144725482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7490 (CT)
- Practice address
- 6 W River St Unit 491
Milford, CT 06460-9471 - Phone
- (800) 835-9812
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7490 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Telemedicine LLC | Family | Current |
Accepting new patients |
Locations
6 W River St
Unit 491
Milford, CT 06460
Phone (800) 835-9812
Interoperability endpoints
- https://api.platform.athenahealth.com/21359/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7490 | CT | Yes |
Addresses
Primary practice location
6 W River St Unit 491
Milford, CT 06460-9471
Mailing address
6 W River St Unit 491
Milford, CT 06460-9471
Phone (800) 835-9812
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- Molly Champagne
- Shelly Chandler
- Birur G Chandra
- Hsuan-Pin Chang
- Aimee Chappa
All providers in Milford, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.