Provider Demographics
NPI:1548265200
Name:NAPOLEONE, JENNIFER E (MSN, APRN, BC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:E
Last Name:NAPOLEONE
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 CAMPBELL AVENUE
Mailing Address - Street 2:VA HEALTHCARE SYSTEM B1/118
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516
Mailing Address - Country:US
Mailing Address - Phone:203-932-5711
Mailing Address - Fax:203-937-4789
Practice Address - Street 1:950 CAMPBELL AVENUE
Practice Address - Street 2:VA HEALTHCARE SYSTEM B1/118
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-4789
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002301363LP0808X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT500001174Medicare ID - Type UnspecifiedPROVIDER NUMBER
CTQ02983Medicare UPIN