Rena Jacobs, PA
Physician Assistant in Durham, Connecticut
1629301718- Practice location
- 6 Main St, Durham, CT 06422-2126
- Phone
- 860-349-1058
- Fax
- 860-358-8652
- Last updated
- April 12, 2017
Rena Jacobs is a Physician Assistant based in Durham, CT. Rena Jacobs practices in Durham, CT and has the professional credentials of PA. The NPI Number for Rena Jacobs is 1629301718 and holds a License No. 002304 (CT). The current practice location address for Rena Jacobs is 6 Main St, Durham, CT 06422-2126 and can be reached out via phone at 860-349-1058 and via fax at 860-358-8652.
Provider Profile Details
- NPI Number
- 1629301718
- Provider Name
- Rena Jacobs
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Main St, Durham, CT 06422-2126
- Phone Number
- 860-349-1058
- Fax Number
- 860-358-8652
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Rena Bryan, PA (Former Name)
- Provider Enumeration Date
- September 8, 2009
- Last Update Date
- April 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Main St
Durham, CT 06422-2126 - City
- Durham
- State
- Connecticut
- Zip
- 06422-2126
- Phone Number
- 860-349-1058
- Fax Number
- 860-358-8652
Provider Business Mailing Address Details
- Address
- 28 Crescent St
Middletown, CT 06457-3654 - City
- Middletown
- State
- CT
- Zip
- 06457-3654
- Phone Number
- 860-358-4820
- Fax Number
- 860-358-8661
License Information
- License Number
- 002304
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · 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 Rena Jacobs, PA?
The NPI number of Rena Jacobs, PA is 1629301718. It was assigned on September 8, 2009 and is currently active in the NPPES registry.
What is the specialty of Rena Jacobs, PA?
Rena Jacobs, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002304.
Where does Rena Jacobs, PA practice?
The practice location is 6 Main St, Durham, CT 06422-2126. The office can be reached at 860-349-1058 (phone) or 860-358-8652 (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 1629301718 directly on the NPPES registry website.