Individual provider · Type 1 NPI

Cheryl L. Jacques, APRN

Nurse Practitioner · Mansfield Center, CT

NPI number 1700939998 Active

Practice location

6 Ledgebrook Dr Ste C
Mansfield Center, CT 06250-1644

Fax (860) 200-3491

Mailing address

813 Hopewell Rd
South Glastonbury, CT 06073-2441

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X000761 APRN (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…

Another provider at this address

About NPI 1700939998

Cheryl L. Jacques, APRN's National Provider Identifier is 1700939998, issued on Jan 19, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mansfield Center, CT. The record was last updated on Jul 30, 2026.