Healthcare Provider Details

I. General information

NPI: 1063342491
Provider Name (Legal Business Name): JESSICA GARIGLIANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 E MAIN ST APT D4
CLINTON CT
06413-2239
US

IV. Provider business mailing address

280 E MAIN ST APT D4
CLINTON CT
06413-2239
US

V. Phone/Fax

Practice location:
  • Phone: 860-391-3902
  • Fax:
Mailing address:
  • Phone: 860-391-3902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number235953
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: