Provider Demographics
NPI:1164135448
Name:BIRRITTERI, JENNESE N (CD)
Entity Type:Individual
Prefix:MS
First Name:JENNESE
Middle Name:N
Last Name:BIRRITTERI
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2505
Mailing Address - Country:US
Mailing Address - Phone:860-808-9073
Mailing Address - Fax:
Practice Address - Street 1:129 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-2505
Practice Address - Country:US
Practice Address - Phone:860-808-9073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula