Provider Demographics
NPI:1871022426
Name:PIERRE, JENNIFER C (ND, MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:C
Last Name:PIERRE
Suffix:
Gender:F
Credentials:ND, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1449 WHALLEY AVE UNIT 5006
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06525-7733
Mailing Address - Country:US
Mailing Address - Phone:203-806-5152
Mailing Address - Fax:833-645-0858
Practice Address - Street 1:869 WHALLEY AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1728
Practice Address - Country:US
Practice Address - Phone:203-806-5152
Practice Address - Fax:833-645-0858
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X, 174H00000X
CT5992083P0901X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No174H00000XOther Service ProvidersHealth Educator
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine