NPI 1003215237

Jacqueline J Jervis, PAC

Practitioner Medical Physician Assistant Milford, CT

Practice location

Address: 281 Seaside Ave, Milford, CT 06460-4601
Phone: (203) 878-9718

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3136 (CT)

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Registry record

NPI: 1003215237
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2014
Record last updated: 26 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.