Doctor Name: | JEANNE J LEVASSEUR |
NPI Number: | 1316047939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 000559 |
Business Practice Address: | Student Health Services U-conn U-11 234 Glenbrook Rd. Storrs Mansfield, CT - 062692011 |
Business Phone Number: | 8604864700 |
Business Fax Number: | |
Mailing Address: | 12 Ascoli Dr, WALLINGFORD |
State: | CT |
Postal Code: | 064923265 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 000559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |