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

Kerisha S Prince

Individual provider Registered Nurse · NPI 1861107591

Kerisha S Prince is a Nurse Practitioner in West Hartford, Connecticut. Qualified in 2022, 4 years ago. Practices with The Bridge Family Center Inc, a 5-clinician group and works from 2 locations. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1022 Farmington Ave
West Hartford, CT 06107-2105
Phone: (860) 521-8035
Fax: (860) 521-8036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Southfield Ave Ste 100, Stamford, CT 06902-7223 — (800) 465-3203

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 011413 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 153956 (CT)

Record details

NPI number1861107591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJuly 31, 2024
Certification dateJuly 30, 2024
Mailing address92 Cheney Ln, East Hartford, CT 06118-3005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Bridge Family Center Inc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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