| Doctor Name: | JESSICA FLUTIE |
| NPI Number: | 1114312071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | 006105 |
| Business Practice Address: | 38b Grove St Ridgefield, CT - 068774665 |
| Business Phone Number: | 2034389557 |
| Business Fax Number: | |
| Mailing Address: | 38b Grove St, RIDGEFIELD |
| State: | CT |
| Postal Code: | 068774665 |
| Phone Number: | 2034389557 |
| Fax Number: | 2034386456 |
| NPI Enumeration Date: | 03/30/2015 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 006105 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |