NPI 1366106940 · live from the CMS NPI Registry
Jessica Augustine
Physician Assistant, Medical in Stamford, CT. National Provider Identifier 1366106940, active.
NPI record
| NPI | 1366106940 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1 Hospital Plz, Stamford, CT 06902 |
| Practice phone | 203-348-7410 |
| Enumerated | October 28, 2021 |
| Last updated | January 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.