Individual provider · Type 1 NPI

Jessica Anziano

Nurse Practitioner · Middletown, CT

NPI number 1639061807 Active

Practice location

101 Centerpoint Dr Ste 300
Middletown, CT 06457-7568

Fax (857) 255-3315

Mailing address

101 Centerpoint Dr
Middletown, CT 06457-7568

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X15002 (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 1639061807

Jessica Anziano's National Provider Identifier is 1639061807, issued on Jul 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middletown, CT. The record was last updated on Jul 21, 2025.