Healthcare Provider Details

I. General information

NPI: 1376672360
Provider Name (Legal Business Name): JANNA ZEMPSKY NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459A NEW BRITAIN AVE
WEST HARTFORD CT
06110-1659
US

IV. Provider business mailing address

21 WESTFIELD RD
WEST HARTFORD CT
06119-1534
US

V. Phone/Fax

Practice location:
  • Phone: 860-232-5437
  • Fax:
Mailing address:
  • Phone: 860-559-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number001775
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: