Individual provider · Type 1 NPI

Jacqueline McSally, PA-C

Surgical Physician Assistant · Trumbull, CT

NPI number 1417415084 Active

Practice location

5520 Park Ave
Trumbull, CT 06611-3463

Mailing address

1290 Silas Deane Hwy, Hhc Cvo
Wethersfield, CT 06109-4337

Other practice locations

  • 2800 Main St, Bridgeport, CT 06606-4201 · (475) 210-5436

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7737-023 (WI)
Surgical Physician Assistant Primary 363AS0400X6876 (CT)
Physician Assistant 363A00000X0010-08914 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1417415084

Jacqueline McSally, PA-C's National Provider Identifier is 1417415084, issued on Mar 3, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trumbull, CT. The record was last updated on Oct 7, 2025.