NPI 1871022293 · live from the CMS NPI Registry
Jacqueline Mary Atkinson, PA-C
Physician Assistant, Medical in Middletown, CT. National Provider Identifier 1871022293, active.
NPI record
| NPI | 1871022293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 28 Crescent St, Middletown, CT 06457 |
| Practice phone | 860-358-6000 |
| Mailing address | 18 Centennial St, Foxboro, MA 02035 |
| Enumerated | June 8, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.