Jessica Persad, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Niantic, Connecticut
1336907641- Practice location
- 201 W Main St, Niantic, CT 06357-1014
- Phone
- 860-334-8755
- Fax
- —
- Last updated
- March 11, 2024
Jessica Persad is a Nurse Practitioner, Psych/Mental Health based in Niantic, CT. Jessica Persad practices in Niantic, CT and has the professional credentials of PMHNP-BC. The NPI Number for Jessica Persad is 1336907641 and holds a License No. 12949 (CT). The current practice location address for Jessica Persad is 201 W Main St, Niantic, CT 06357-1014 and can be reached out via phone at 860-334-8755.
Provider Profile Details
- NPI Number
- 1336907641
- Provider Name
- Jessica Persad
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 W Main St, Niantic, CT 06357-1014
- Phone Number
- 860-334-8755
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 11, 2024
- Last Update Date
- March 11, 2024
- Certification Date
- March 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 W Main St
Niantic, CT 06357-1014 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-1014
- Phone Number
- 860-334-8755
Provider Business Mailing Address Details
- Address
- 47 Laurel Hill Dr
Niantic, CT 06357-1536 - City
- Niantic
- State
- CT
- Zip
- 06357-1536
- Phone Number
- 860-334-8755
License Information
- License Number
- 12949
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Persad, PMHNP-BC?
The NPI number of Jessica Persad, PMHNP-BC is 1336907641. It was assigned on March 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Jessica Persad, PMHNP-BC?
Jessica Persad, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 12949.
Where does Jessica Persad, PMHNP-BC practice?
The practice location is 201 W Main St, Niantic, CT 06357-1014. The office can be reached at 860-334-8755 (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 1336907641 directly on the NPPES registry website.