| Organization Name: | JANE REGAN APRN LLC |
| NPI Number: | 1427475672 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE K REGAN (OWNER) |
| Mailing Address: | 560 Silver Sands Rd Unit 505 East Haven |
| State: | CT US |
| Postal Code: | 065124600 |
| Phone Number: | 2034104382 |
| Fax Number: | 2034694401 |
| NPI Enumeration Date: | 03/26/2014 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | E52363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |