Individual provider · Type 1 NPI

Jacqueline J. Jervis, PA-C

Medical Physician Assistant · Milford, CT

NPI number 1003215237 Active

Practice location

281 Seaside Ave
Milford, CT 06460-4601

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3136 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1003215237

Jacqueline J. Jervis, PA-C's National Provider Identifier is 1003215237, issued on Aug 13, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Milford, CT. The record was last updated on Jun 26, 2019.