Jacqueline Elise, APRN
Nurse Practitioner, Psych/Mental Health in Orange, Connecticut
1710444195- Practice location
- 400 W Campus Dr, Orange, CT 06477-3646
- Phone
- 612-298-3241
- Fax
- —
- Last updated
- December 11, 2025
Jacqueline Elise is a Nurse Practitioner, Psych/Mental Health based in Orange, CT. Jacqueline Elise practices in Orange, CT and has the professional credentials of APRN. The NPI Number for Jacqueline Elise is 1710444195 and holds a License No. 15039 (CT). The current practice location address for Jacqueline Elise is 400 W Campus Dr, Orange, CT 06477-3646 and can be reached out via phone at 612-298-3241.
Provider Profile Details
- NPI Number
- 1710444195
- Provider Name
- Jacqueline Elise
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 W Campus Dr, Orange, CT 06477-3646
- Phone Number
- 612-298-3241
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 21, 2019
- Last Update Date
- December 11, 2025
- Certification Date
- December 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 W Campus Dr
Orange, CT 06477-3646 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3646
- Phone Number
- 612-298-3241
Provider Business Mailing Address Details
- Address
- 400 W Campus Dr
Orange, CT 06477-3646 - City
- Orange
- State
- CT
- Zip
- 06477-3646
- Phone Number
- 612-298-3241
License Information
- License Number
- 15039
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Jacqueline Elise, APRN?
The NPI number of Jacqueline Elise, APRN is 1710444195. It was assigned on February 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Jacqueline Elise, APRN?
Jacqueline Elise, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 15039.
Where does Jacqueline Elise, APRN practice?
The practice location is 400 W Campus Dr, Orange, CT 06477-3646. The office can be reached at 612-298-3241 (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 1710444195 directly on the NPPES registry website.