Jessica Augustine
Physician Assistant, Medical in Stamford, CT. Individual provider (NPI-1).
NPI number1366106940
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1366106940
- Entity type
- Individual (NPI-1)
- Name
- Jessica Augustine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
1 Hospital PlzStamford, CT 06902-3602
Phone 203-348-7410
Mailing address
1 Hospital PlzStamford, CT 06902-3602
Phone 203-348-7410
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