Jacqueline Braunworth, PA-C
Physician Assistant, Medical in Derby, Connecticut
1649665936- Practice location
- 68 Division St, Derby, CT 06418-1447
- Phone
- 203-732-6802
- Fax
- 203-732-6792
- Last updated
- October 19, 2022
Jacqueline Braunworth is a Physician Assistant, Medical based in Derby, CT. Jacqueline Braunworth practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Jacqueline Braunworth is 1649665936 and holds a License No. 003273 (CT). The current practice location address for Jacqueline Braunworth is 68 Division St, Derby, CT 06418-1447 and can be reached out via phone at 203-732-6802 and via fax at 203-732-6792.
Provider Profile Details
- NPI Number
- 1649665936
- Provider Name
- Jacqueline Braunworth
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 68 Division St, Derby, CT 06418-1447
- Phone Number
- 203-732-6802
- Fax Number
- 203-732-6792
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2015
- Last Update Date
- October 19, 2022
- Certification Date
- October 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 68 Division St
Derby, CT 06418-1447 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1447
- Phone Number
- 203-732-6802
- Fax Number
- 203-732-6792
Provider Business Mailing Address Details
- Address
- 68 Division St
Derby, CT 06418-1447 - City
- Derby
- State
- CT
- Zip
- 06418-1447
- Phone Number
- 203-732-6802
- Fax Number
- 203-732-6792
License Information
- License Number (1)
- 003273
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 003273
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Derby, CT
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- Cayla C Daniele, PA-CPhysician Assistant, Medical · NPI 1770025132
- Debra Sullivan, PAPhysician Assistant, Medical · NPI 1396836714
- Jocelyn B Mendes, PA-CPhysician Assistant, Medical · NPI 1548713621
- Kaitlynn M Jones, PA-CPhysician Assistant, Medical · NPI 1619392370
- Mr. David Maffei, PAPhysician Assistant, Medical · NPI 1558380253
Frequently Asked Questions
What is the NPI number of Jacqueline Braunworth, PA-C?
The NPI number of Jacqueline Braunworth, PA-C is 1649665936. It was assigned on April 2, 2015 and is currently active in the NPPES registry.
What is the specialty of Jacqueline Braunworth, PA-C?
Jacqueline Braunworth, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 003273.
Where does Jacqueline Braunworth, PA-C practice?
The practice location is 68 Division St, Derby, CT 06418-1447. The office can be reached at 203-732-6802 (phone) or 203-732-6792 (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 1649665936 directly on the NPPES registry website.