NPI 1902445323 · live from the CMS NPI Registry
Jenna Rose Appleton, PA-C
Physician Assistant, Surgical in New Haven, CT. National Provider Identifier 1902445323, active.
NPI record
| NPI | 1902445323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 185 Sams Rd Unit E, Meriden, CT 06451 |
| Enumerated | January 2, 2020 |
| Last updated | May 29, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 4658 (CT) |
| Physician Assistant, Surgical primary | 363AS0400X | 4658 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.