Jacqueline J Jervis, PA-C
Physician Assistant, Medical in Milford, Connecticut
1003215237- Practice location
- 281 Seaside Ave, Milford, CT 06460-4601
- Phone
- 203-878-9718
- Fax
- —
- Last updated
- June 26, 2019
Jacqueline J Jervis is a Physician Assistant, Medical based in Milford, CT. Jacqueline J Jervis practices in Milford, CT and has the professional credentials of PA-C. The NPI Number for Jacqueline J Jervis is 1003215237 and holds a License No. 3136 (CT). The current practice location address for Jacqueline J Jervis is 281 Seaside Ave, Milford, CT 06460-4601 and can be reached out via phone at 203-878-9718.
Provider Profile Details
- NPI Number
- 1003215237
- Provider Name
- Jacqueline J Jervis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 281 Seaside Ave, Milford, CT 06460-4601
- Phone Number
- 203-878-9718
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 13, 2014
- Last Update Date
- June 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 281 Seaside Ave
Milford, CT 06460-4601 - City
- Milford
- State
- Connecticut
- Zip
- 06460-4601
- Phone Number
- 203-878-9718
Provider Business Mailing Address Details
- Address
- 281 Seaside Ave
Milford, CT 06460-4601 - City
- Milford
- State
- CT
- Zip
- 06460-4601
- Phone Number
- 203-878-9718
License Information
- License Number
- 3136
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacqueline J Jervis, PA-C?
The NPI number of Jacqueline J Jervis, PA-C is 1003215237. It was assigned on August 13, 2014 and is currently active in the NPPES registry.
What is the specialty of Jacqueline J Jervis, PA-C?
Jacqueline J Jervis, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3136.
Where does Jacqueline J Jervis, PA-C practice?
The practice location is 281 Seaside Ave, Milford, CT 06460-4601. The office can be reached at 203-878-9718 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003215237 directly on the NPPES registry website.