Provider Demographics
NPI:1891378758
Name:WEGLINSKI, JERILYN ANN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:JERILYN
Middle Name:ANN
Last Name:WEGLINSKI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 DIXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-3615
Mailing Address - Country:US
Mailing Address - Phone:203-288-1700
Mailing Address - Fax:
Practice Address - Street 1:1650 DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3615
Practice Address - Country:US
Practice Address - Phone:203-288-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant