Provider Demographics
NPI:1336813393
Name:BARANOWSKI, JENNIFER ELIZABETH (APRN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:BARANOWSKI
Suffix:
Gender:F
Credentials:APRN, NP-C
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Mailing Address - Street 1:17 GAYLORD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1401
Mailing Address - Country:US
Mailing Address - Phone:860-987-7461
Mailing Address - Fax:
Practice Address - Street 1:44 DALE RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4315
Practice Address - Country:US
Practice Address - Phone:860-674-8830
Practice Address - Fax:860-606-0098
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT9816363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner