Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE J JERVIS, PA-C
Active Sole ProprietorJACQUELINE J JERVIS, PA-C is a Medical Physician Assistant healthcare provider located in MILFORD, Connecticut. NPI 1003215237 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MILFORD, CT
Registration Details
- NPI Number
- 1003215237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2014 (11.989368044961 yrs)
- Last Updated
- Jun 26, 2019
- License
-
3136 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
281 SEASIDE AVEMILFORD, CT, 064604601Browse CT providers · Browse ZIP 06460
- Phone
- 2038789718
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MILFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MS. JULIE PING GEDALECIA | PA | 1063069748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.