Individual provider · Type 1 NPI

Suni Jacob, APRN

Nurse Practitioner · Hamden, CT

NPI number 1194709402 Active

Practice location

2543 Dixwell Ave
Hamden, CT 06514-1860

Mailing address

161 Rochela Dr
Southington, CT 06489-4671

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X003301 (CT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194709402

Suni Jacob, APRN's National Provider Identifier is 1194709402, issued on Nov 30, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hamden, CT. The record was last updated on Apr 6, 2023.