Active NPIIndividual provider

Jamal Daniels, AGACNP-BC

Nurse Practitioner, Acute Care in Hartford, Connecticut

NPI Number1730728619
Practice location
80 Seymour St, Hartford, CT 06102-8000
Fax
860-972-7040
Last updated
August 4, 2020

Jamal Daniels is a Nurse Practitioner, Acute Care based in Hartford, CT. Jamal Daniels practices in Hartford, CT and has the professional credentials of AGACNP-BC. The NPI Number for Jamal Daniels is 1730728619 and holds a License No. 9064 (CT). The current practice location address for Jamal Daniels is 80 Seymour St, Hartford, CT 06102-8000 and can be reached out via phone at 860-972-9047 and via fax at 860-972-7040.

Provider Profile Details

NPI Number
1730728619
Provider Name
Jamal Daniels
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
80 Seymour St, Hartford, CT 06102-8000
Phone Number
860-972-9047
Fax Number
860-972-7040
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Other Names
Jamal Athari (Former Name)
Provider Enumeration Date
December 25, 2019
Last Update Date
August 4, 2020
Certification Date
August 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Seymour St
Hartford, CT 06102-8000
Zip
06102-8000
Phone Number
860-972-9047
Fax Number
860-972-7040
Hartford, CT 06102Get directions →

Provider Business Mailing Address Details

Address
11 Squaw Hollow RD
Ashford, CT 06278-1546
City
Ashford
State
CT
Zip
06278-1546
Phone Number
860-455-5781

License Information

License Number (1)
9064
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X · Primary
License Number (2)
10.126810
License State (2)
CT
Taxonomy (2)
Registered Nurse, Emergency · 163WE0003X

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 Jamal Daniels, AGACNP-BC?

The NPI number of Jamal Daniels, AGACNP-BC is 1730728619. It was assigned on December 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Jamal Daniels, AGACNP-BC?

Jamal Daniels, AGACNP-BC is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in CT under license number 9064.

Where does Jamal Daniels, AGACNP-BC practice?

The practice location is 80 Seymour St, Hartford, CT 06102-8000. The office can be reached at 860-972-9047 (phone) or 860-972-7040 (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 1730728619 directly on the NPPES registry website.

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