Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA ROSE DACOSTA, APRN, AGNP
Active Sole ProprietorJESSICA ROSE DACOSTA, APRN, AGNP is a Geriatric Medicine healthcare provider located in BROOKFIELD, Connecticut. NPI 1245971571 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · BROOKFIELD, CT
Registration Details
- NPI Number
- 1245971571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2022 (4.395971651903 yrs)
- Last Updated
- Apr 1, 2022
- License
-
10496 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 OLD NEW MILFORD RD STE 3DBROOKFIELD, CT, 068042426Browse CT providers · Browse ZIP 06804
- Phone
- 2038850910
- Primary Specialty
-
Geriatric Medicine
207QG0300X
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.