JESSICA URBAN-JACK


Address: 1162 New Britain Ave, West Hartford, CT 06110-2410
Phone: 8602363084

JESSICA URBAN-JACK (NPI# 1225492507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225492507
Entity Type Individual
Full Name JESSICA URBAN-JACK
Credential APRN
Practice Address 1162 New Britain Ave
West Hartford
CT 06110-2410
Practice Telephone 8602363084
Practice Fax Number 8605615961
Mailing Telephone 8602363084
Mailing Fax Number 8605615961
Enumeration Date 2016-04-12
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 006504 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
006504 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT STATE LICENSE 006504 01

Office Location

Street Address 1162 NEW BRITAIN AVE
City WEST HARTFORD
State CT
Zip Code 06110-2410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114201118 Semone Sabrina Roach Nurse Practitioner 1162 New Britain Ave, West Hartford, CT 06110-2410 2011-10-10
1427071570 Chitralaka Ramanan Pediatrics 1162 New Britain Ave, West Hartford, CT 06110-2410 2006-07-26
1528089737 Ishrat Quadri Pediatrics 1162 New Britain Ave, West Hartford, CT 06110-2410 2006-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306467030 Jand. Inc. Eyewear Supplier (Equipment, not the service) 1500 New Britain Ave, H216, West Hartford, CT 06110 2020-05-05
1962903492 Mitchell Graham Chiropractor 121 Talcott Rd, West Hartford, CT 06110 2018-02-21
1417302829 Kaitlyn Roggi Behavioral Analyst 101 South St Fl 2, West Hartford, CT 06110 2016-05-04
1487036802 Nino Gigauri Internal Medicine 114 Woodlawn St, Hartford, CT 06110 2015-06-22
1093082174 Shital Makati Pharmacist 940 South Quaker Lane, West Hartford, CT 06110 2011-11-17
1376842948 Kenneth Reeve Pediatrics 1459a New Britain Ave, West Hartford, CT 06110 2011-03-22
1225368913 Jenny Alzate Lpc LLC Counselor 78 Cambridge St, West Hartford, CT 06110 2010-01-04
1821200957 Advocate Community Care Agency, Inc. Home Delivered Meals 1086 New Britain Ave, West Hartford, CT 06110 2007-05-03
1730257155 Catherine Ann Staunton Physical Therapist 1350 Chapel Street, New Haven, CT 06110 2006-12-01
1689750002 Pamela M Matuszewski Optometrist 1445 New Britain Ave, W Hartford, CT 06110 2006-10-27
Find all providers in zip 06110

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871149153 Katherine Krevolin Nurse Practitioner 53 Ferncliff Dr, West Hartford, CT 06117-1013 2019-08-13
1639739915 Julie Nicole Rome Nurse Practitioner 345 N Main St Ste 112, West Hartford, CT 06117-2508 2019-06-18
1023533353 Marina Creed Nurse Practitioner 87 Outlook Avenue, West Hartford, CT 06119-2214 2017-08-08
1518016799 Judith Lynn Briggs Nurse Practitioner 29 Troy St, West Hartford, CT 06119-1757 2007-01-09
1952325813 Kristine Sterling Nurse Practitioner 1030 New Britain Ave, West Hartford, CT 06110-2261 2006-07-26
1285269431 Shauna Rafferty Nurse Practitioner 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 2020-03-09
1174166987 Elizabeth Pelletier Nurse Practitioner 1030 Boulevard, West Hartford, CT 06119-1801 2019-10-24
1821641671 Kaitlin Noelle Erickson Nurse Practitioner 345 N Main St Ste 112, West Hartford, CT 06117-2508 2019-07-22
1538729702 Naomi Mara Sydney Nurse Practitioner 1030 Boulevard, West Hartford, CT 06119-1801 2019-06-19
1821557026 Stephanie Lamothe Nurse Practitioner 1001 Farmington Ave, West Hartford, CT 06107-2135 2019-03-18
Find all providers in WEST HARTFORD

Competitor

Search similar providers

City WEST HARTFORD
Zip Code 06110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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