Individual provider · Type 1 NPI

Ayana M. Jacob, PA-C

Physician Assistant · Newington, CT

NPI number 1679467484 Active

Practice location

53 Burdon Ln
Newington, CT 06111-2715

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X7176 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679467484

Ayana M. Jacob, PA-C's National Provider Identifier is 1679467484, issued on Jun 5, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newington, CT. The record was last updated on Jul 23, 2025.