Individual provider · Type 1 NPI
Jessica Mirabile, MMSC., PA-C
Medical Physician Assistant · New Haven, CT
NPI number
1730950668
Active
Practice location
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 6441 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1730950668
Jessica Mirabile, MMSC., PA-C's National Provider Identifier is 1730950668, issued on Jan 10, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Feb 24, 2025.