Individual provider · Type 1 NPI

Jessica Prisco, NP

Primary Care Nurse Practitioner · Newington, CT

NPI number 1407300593 Active

Practice location

555 Willard Ave
Newington, CT 06111-2631

Mailing address

16 Cobblestone Dr
Groton, CT 06340-3853

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X12.006611 (CT)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1407300593

Jessica Prisco, NP's National Provider Identifier is 1407300593, issued on Aug 7, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Newington, CT. The record was last updated on Aug 7, 2016.