Active NPIIndividual provider

Adelina N Jakuba, MS, APRN, FNP-BC

Nurse Practitioner, Family in Waterford, Connecticut

NPI Number1427795970
Practice location
5 Dayton RD Ste 102, Waterford, CT 06385-4279
Fax
—
Last updated
October 31, 2022

Adelina Nicole Jakuba is a Nurse Practitioner, Family based in Waterford, CT. Adelina Nicole Jakuba practices in Waterford, CT and has the professional credentials of MS, APRN, FNP-BC. The NPI Number for Adelina Nicole Jakuba is 1427795970 and holds a License No. 147591 (CT). The current practice location address for Adelina Nicole Jakuba is 5 Dayton RD Ste 102, Waterford, CT 06385-4279 and can be reached out via phone at 860-271-2400.

Provider Profile Details

NPI Number
1427795970
Provider Name
Adelina Nicole Jakuba
Credential
MS, APRN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5 Dayton RD Ste 102, Waterford, CT 06385-4279
Phone Number
860-271-2400
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2022
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Dayton RD Ste 102
Waterford, CT 06385-4279
Zip
06385-4279
Phone Number
860-271-2400
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
5 Dayton RD Ste 102
Waterford, CT 06385-4279
City
Waterford
State
CT
Zip
06385-4279
Phone Number
860-271-2400

License Information

License Number (1)
147591
License State (1)
CT
Taxonomy (1)
Registered Nurse, Neuroscience · 163WN0800X
License Number (2)
PENDING
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
10960
License State (3)
CT
Taxonomy (3)
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 Adelina N Jakuba, MS, APRN, FNP-BC?

The NPI number of Adelina N Jakuba, MS, APRN, FNP-BC is 1427795970. It was assigned on May 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Adelina N Jakuba, MS, APRN, FNP-BC?

Adelina N Jakuba, MS, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 147591.

Where does Adelina N Jakuba, MS, APRN, FNP-BC practice?

The practice location is 5 Dayton RD Ste 102, Waterford, CT 06385-4279. The office can be reached at 860-271-2400 (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 1427795970 directly on the NPPES registry website.

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