Individual provider · Type 1 NPI

Andrea Jacobs-Stannard, P.A.

Medical Physician Assistant · New Haven, CT

NPI number 1295852440 Active

Practice location

20 York St # CB-2041, Ynh Medical Services Pc
New Haven, CT 06504-8900

Fax (203) 688-4740

Mailing address

20 York St, CB-2041
New Haven, CT 06504-8900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001566 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1295852440

Andrea Jacobs-Stannard, P.A.'s National Provider Identifier is 1295852440, issued on Mar 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.