Jessica R Dacosta, APRN, AGNP
Family Medicine, Geriatric Medicine in Brookfield, Connecticut
1245971571- Practice location
- 2 Old New Milford RD Ste 3D, Brookfield, CT 06804-2426
- Phone
- 203-885-0910
- Fax
- —
- Last updated
- April 1, 2022
Jessica Rose Dacosta is a Family Medicine, Geriatric Medicine based in Brookfield, CT. Jessica Rose Dacosta practices in Brookfield, CT and has the professional credentials of APRN, AGNP. The NPI Number for Jessica Rose Dacosta is 1245971571 and holds a License No. 10496 (CT). The current practice location address for Jessica Rose Dacosta is 2 Old New Milford RD Ste 3D, Brookfield, CT 06804-2426 and can be reached out via phone at 203-885-0910.
Provider Profile Details
- NPI Number
- 1245971571
- Provider Name
- Jessica Rose Dacosta
- Credential
- APRN, AGNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Old New Milford RD Ste 3D, Brookfield, CT 06804-2426
- Phone Number
- 203-885-0910
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2022
- Last Update Date
- April 1, 2022
- Certification Date
- April 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Old New Milford RD Ste 3D
Brookfield, CT 06804-2426 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2426
- Phone Number
- 203-885-0910
Provider Business Mailing Address Details
- Address
- 53 Elbow Hill RD
Brookfield, CT 06804-1905 - City
- Brookfield
- State
- CT
- Zip
- 06804-1905
- Phone Number
- 203-947-6986
License Information
- License Number
- 10496
- License State
- CT
- Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X · 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 Jessica R Dacosta, APRN, AGNP?
The NPI number of Jessica R Dacosta, APRN, AGNP is 1245971571. It was assigned on April 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Jessica R Dacosta, APRN, AGNP?
Jessica R Dacosta, APRN, AGNP is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in CT under license number 10496.
Where does Jessica R Dacosta, APRN, AGNP practice?
The practice location is 2 Old New Milford RD Ste 3D, Brookfield, CT 06804-2426. The office can be reached at 203-885-0910 (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 1245971571 directly on the NPPES registry website.