Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jarese Isiah Eddie

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902697865

Jarese Isiah Eddie is a Student in an Organized Health Care Education/Training Program in Middletown, Connecticut. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

675 Main St
Middletown, CT 06457-2732
Phone: (860) 347-6971
Fax: (860) 343-7379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1902697865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 12, 2025

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