Active NPIIndividual provider

Mrs. Jessica Prisco, NP

Nurse Practitioner, Primary Care in Newington, Connecticut

NPI Number1407300593
Practice location
555 Willard Ave, Newington, CT 06111-2631
Fax
—
Last updated
August 7, 2016

Jessica Prisco is a Nurse Practitioner, Primary Care based in Newington, CT. Jessica Prisco practices in Newington, CT and has the professional credentials of NP. The NPI Number for Jessica Prisco is 1407300593 and holds a License No. 12.006611 (CT). The current practice location address for Jessica Prisco is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-666-6951.

Provider Profile Details

NPI Number
1407300593
Provider Name
Jessica Prisco
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
555 Willard Ave, Newington, CT 06111-2631
Phone Number
860-666-6951
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2016
Last Update Date
August 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Willard Ave
Newington, CT 06111-2631
Zip
06111-2631
Phone Number
860-666-6951
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
16 Cobblestone Dr
Groton, CT 06340-3853
City
Groton
State
CT
Zip
06340-3853

License Information

License Number
12.006611
License State
CT
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · 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. Jessica Prisco, NP?

The NPI number of Mrs. Jessica Prisco, NP is 1407300593. It was assigned on August 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica Prisco, NP?

Mrs. Jessica Prisco, NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 12.006611.

Where does Mrs. Jessica Prisco, NP practice?

The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-666-6951 (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 1407300593 directly on the NPPES registry website.

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