Active NPIIndividual provider

Mrs. Jacqueline Lagasse, MSN, NP-C

Nurse Practitioner, Family in Waterford, Connecticut

NPI Number1255745014
Practice location
196 Parkway S, Suite 303, Waterford, CT 06385-1234
Fax
860-447-8961
Last updated
November 20, 2015

Jacqueline Lagasse is a Nurse Practitioner, Family based in Waterford, CT. Jacqueline Lagasse practices in Waterford, CT and has the professional credentials of MSN, NP-C. The NPI Number for Jacqueline Lagasse is 1255745014 and holds a License No. 111731 (CT). The current practice location address for Jacqueline Lagasse is 196 Parkway S, Suite 303, Waterford, CT 06385-1234 and can be reached out via phone at 860-443-4455 and via fax at 860-447-8961.

Provider Profile Details

NPI Number
1255745014
Provider Name
Jacqueline Lagasse
Credential
MSN, NP-C
Provider Entity Type
Individual
Gender
Female
Address
196 Parkway S, Suite 303, Waterford, CT 06385-1234
Phone Number
860-443-4455
Fax Number
860-447-8961
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2014
Last Update Date
November 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
196 Parkway S
Suite 303
Waterford, CT 06385-1234
Zip
06385-1234
Phone Number
860-443-4455
Fax Number
860-447-8961
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
196 Parkway S 304
Waterford, CT 06385-1234
City
Waterford
State
CT
Zip
06385-1234
Phone Number
860-442-7027
Fax Number
860-437-2236

License Information

License Number (1)
111731
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
5757
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Mrs. Jacqueline Lagasse, MSN, NP-C?

The NPI number of Mrs. Jacqueline Lagasse, MSN, NP-C is 1255745014. It was assigned on June 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jacqueline Lagasse, MSN, NP-C?

Mrs. Jacqueline Lagasse, MSN, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 111731.

Where does Mrs. Jacqueline Lagasse, MSN, NP-C practice?

The practice location is 196 Parkway S, Suite 303, Waterford, CT 06385-1234. The office can be reached at 860-443-4455 (phone) or 860-447-8961 (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 1255745014 directly on the NPPES registry website.

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