Individual provider · Type 1 NPI

Jacqueline Lagasse, MSN, NP-C

Family Nurse Practitioner · Waterford, CT

NPI number 1255745014 Active

Practice location

196 Parkway S, Suite 303
Waterford, CT 06385-1234

Fax (860) 447-8961

Mailing address

196 Parkway S 304
Waterford, CT 06385-1234

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X111731 (CT)
Family Nurse Practitioner Primary 363LF0000X5757 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1255745014

Jacqueline Lagasse, MSN, NP-C's National Provider Identifier is 1255745014, issued on Jun 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterford, CT. The record was last updated on Nov 20, 2015.