NPI 1316838220 · live from the CMS NPI Registry
Jacquelyn Basile
Nurse Practitioner, Pediatrics in Shelton, CT. National Provider Identifier 1316838220, active.
NPI record
| NPI | 1316838220 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 100 Beard Sawmill Rd, Shelton, CT 06484 |
| Practice phone | 203-452-8322 |
| Enumerated | July 10, 2025 |
| Last updated | July 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 15059 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.