Provider Demographics
NPI:1821394859
Name:JEAN-PIERRE, KARLENE (APRN)
Entity Type:Individual
Prefix:MS
First Name:KARLENE
Middle Name:
Last Name:JEAN-PIERRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2942
Mailing Address - Country:US
Mailing Address - Phone:347-534-8203
Mailing Address - Fax:
Practice Address - Street 1:22 DEPOT HILL RD
Practice Address - Street 2:CVS MINUTE CLINIC
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2258
Practice Address - Country:US
Practice Address - Phone:401-770-4177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY583197-1163W00000X
NYF336185-1363LF0000X
CT4615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse