Healthcare Provider Details

I. General information

NPI: 1871425728
Provider Name (Legal Business Name): JANINA A. JOURDAIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MABEL AVE
DANBURY CT
06811-3741
US

IV. Provider business mailing address

16 MABEL AVE
DANBURY CT
06811-3741
US

V. Phone/Fax

Practice location:
  • Phone: 203-617-9646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number017547
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: