Active NPIIndividual providerSole proprietor

Jackilyn Annelli, PA

Internal Medicine, Rheumatology in Norwich, Connecticut

NPI Number1245085315
Practice location
12 Case St Ste 212, Norwich, CT 06360-2222
Fax
860-859-9124
Last updated
April 22, 2024

Jackilyn Annelli is an Internal Medicine, Rheumatology based in Norwich, CT. Jackilyn Annelli practices in Norwich, CT and has the professional credentials of PA. The NPI Number for Jackilyn Annelli is 1245085315 and holds a License No. 6548 (CT). The current practice location address for Jackilyn Annelli is 12 Case St Ste 212, Norwich, CT 06360-2222 and can be reached out via phone at 860-859-9123 and via fax at 860-859-9124.

Provider Profile Details

NPI Number
1245085315
Provider Name
Jackilyn Annelli
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
12 Case St Ste 212, Norwich, CT 06360-2222
Phone Number
860-859-9123
Fax Number
860-859-9124
Primary Taxonomy
Internal Medicine, Rheumatology · 207RR0500X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2024
Last Update Date
April 22, 2024
Certification Date
April 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Case St Ste 212
Norwich, CT 06360-2222
Zip
06360-2222
Phone Number
860-859-9123
Fax Number
860-859-9124
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
12 Case St Ste 212
Norwich, CT 06360-2222
City
Norwich
State
CT
Zip
06360-2222
Phone Number
860-859-9123
Fax Number
860-859-9124

License Information

License Number
6548
License State
CT
Taxonomy
Internal Medicine, Rheumatology · 207RR0500X · 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 Jackilyn Annelli, PA?

The NPI number of Jackilyn Annelli, PA is 1245085315. It was assigned on April 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Jackilyn Annelli, PA?

Jackilyn Annelli, PA is registered under the primary taxonomy Internal Medicine, Rheumatology (code 207RR0500X), licensed in CT under license number 6548.

Where does Jackilyn Annelli, PA practice?

The practice location is 12 Case St Ste 212, Norwich, CT 06360-2222. The office can be reached at 860-859-9123 (phone) or 860-859-9124 (fax).

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 1245085315 directly on the NPPES registry website.

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