Active NPIIndividual provider

Jessica Kiback, APRN

Nurse Practitioner, Women's Health in Hartford, Connecticut

NPI Number1417414905
Practice location
100 Retreat Ave Ste 201, Hartford, CT 06106-2528
Fax
860-493-7798
Last updated
December 16, 2025

Jessica Kiback is a Nurse Practitioner, Women's Health based in Hartford, CT. Jessica Kiback practices in Hartford, CT and has the professional credentials of APRN. The NPI Number for Jessica Kiback is 1417414905 and holds a License No. 12.008136 (CA). The current practice location address for Jessica Kiback is 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 and can be reached out via phone at 860-246-8568 and via fax at 860-493-7798.

Provider Profile Details

NPI Number
1417414905
Provider Name
Jessica Kiback
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
100 Retreat Ave Ste 201, Hartford, CT 06106-2528
Phone Number
860-246-8568
Fax Number
860-493-7798
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2019
Last Update Date
December 16, 2025
Certification Date
December 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Retreat Ave Ste 201
Hartford, CT 06106-2528
Zip
06106-2528
Phone Number
860-246-8568
Fax Number
860-493-7798
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
100 Retreat Ave Ste 201
Hartford, CT 06106-2528
City
Hartford
State
CT
Zip
06106-2528
Phone Number
860-246-8568
Fax Number
860-493-7798

License Information

License Number (1)
12.008136
License State (1)
CA
Taxonomy (1)
Nurse Practitioner, Women's Health · 363LW0102X
License Number (2)
8136
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Women's Health · 363LW0102X · 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 Jessica Kiback, APRN?

The NPI number of Jessica Kiback, APRN is 1417414905. It was assigned on February 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica Kiback, APRN?

Jessica Kiback, APRN is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in CA under license number 12.008136.

Where does Jessica Kiback, APRN practice?

The practice location is 100 Retreat Ave Ste 201, Hartford, CT 06106-2528. The office can be reached at 860-246-8568 (phone) or 860-493-7798 (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 1417414905 directly on the NPPES registry website.

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