Provider Demographics
NPI:1376672360
Name:ZEMPSKY, JANNA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:
Last Name:ZEMPSKY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1534
Mailing Address - Country:US
Mailing Address - Phone:860-559-1539
Mailing Address - Fax:
Practice Address - Street 1:1459A NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1659
Practice Address - Country:US
Practice Address - Phone:860-232-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001775363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400193807Medicare PIN
CTD400193812Medicare PIN