Active NPIIndividual provider

Suni Jacob, APRN

Nurse Practitioner in Hamden, Connecticut

NPI Number1194709402
Practice location
2543 Dixwell Ave, Hamden, CT 06514-1860
Fax
—
Last updated
April 6, 2023

Suni Jacob is a Nurse Practitioner based in Hamden, CT. Suni Jacob practices in Hamden, CT and has the professional credentials of APRN. The NPI Number for Suni Jacob is 1194709402 and holds a License No. 003301 (CT). The current practice location address for Suni Jacob is 2543 Dixwell Ave, Hamden, CT 06514-1860 and can be reached out via phone at 203-230-4160.

Provider Profile Details

NPI Number
1194709402
Provider Name
Suni Jacob
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2543 Dixwell Ave, Hamden, CT 06514-1860
Phone Number
203-230-4160
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2005
Last Update Date
April 6, 2023
Certification Date
April 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2543 Dixwell Ave
Hamden, CT 06514-1860
City
Hamden
Zip
06514-1860
Phone Number
203-230-4160
Hamden, CT 06514Get directions →

Provider Business Mailing Address Details

Address
161 Rochela Dr
Southington, CT 06489-4671
City
Southington
State
CT
Zip
06489-4671
Phone Number
203-525-5561

License Information

License Number
003301
License State
CT
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Suni Jacob, APRN?

The NPI number of Suni Jacob, APRN is 1194709402. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Suni Jacob, APRN?

Suni Jacob, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 003301.

Where does Suni Jacob, APRN practice?

The practice location is 2543 Dixwell Ave, Hamden, CT 06514-1860. The office can be reached at 203-230-4160 (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 1194709402 directly on the NPPES registry website.

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