Jessie Louise Condon, APRN
Individual provider Active NPI Oncology Clinical Nurse Specialist · Derby, CT
NPI 1295989424 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1295989424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oncology Clinical Nurse Specialist 364SX0200X
- License
- 003677 (CT)
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-7268
- NPI assigned
- Nov 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003677 | CT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinical Nurse Specialist | 364SX0200X | 003677 | CT | Yes |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
130 Division St
Derby, CT 06418-1326
Phone (203) 732-7268
Other providers in Derby, CT
- Julianne Cioffi-Smith
- James Cliffe
- Matthew E Cohen
- Brianne Colonna
- Comprehensive Pain and Headache Treatment Centers, LLC
- Rory V Condon
- Connecticut CVS Pharmacy, L.L.C.
- Connecticut Post Acute Medical Services 1 PC
- Connecticut Radiology Associates PC
- Connectikidz Dental Care P.C.
All providers in Derby, CT · Oncology Clinical Nurse Specialist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2008. 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.