AMY JACOBSON (Credential# 1593219) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
AMY JACOBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007791. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 14 Brimfield Way, Westfield, MA 01085-4383. The current status is active.
| Licensee Name | AMY JACOBSON |
| Credential ID | 1593219 |
| Credential Number | 12.007791 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
14 Brimfield Way Westfield MA 01085-4383 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1306021 | 10.128959 | Registered Nurse | 2015-08-20 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1596525 | CSP.0069430 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 BRIMFIELD WAY |
| City | WESTFIELD |
| State | MA |
| Zip Code | 01085-4383 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie M Winslow | 33 Cara Lane, Westfield, MA 01085 | Registered Nurse | 2020-06-20 ~ 2021-06-30 |
| Diana P Wigham | 1031 East Mountain Road, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cathy A Roche | 56 Pequot Point Rd., Westfield, MA 01085 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| James Richard Vollinger | 139 Union Street, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon L Scavotto | 196 Tannery Road, Westfield, MA 01085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Christopher J Ferrero | 64 Ridge Trail Rd, Westfield, MA 01085 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aimee C Tompkins | 2 Birch Terr, Westfield, MA 01085 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Jennifer B Wilson | 33 Raymond Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Patricia S Daley | 152 Elizabeth Ave, Westfield, MA 01085 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Cheryl-ann J Koval | 171 Wildflower Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 01085 | |||
| City | WESTFIELD |
| Zip Code | 01085 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WESTFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Jacobson Aprn | 345 W Linda Vista Blvd, Oro Valley, AZ 85704-6807 | Advanced Practice Registered Nurse | 2008-09-02 ~ 2009-10-31 |
| Gary I Jacobson · Jacobson | P.o. Box 869, Bradford, VT 05033 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Rosemary Kopec | P O Box 98, Foster, RI 02825 | Advanced Practice Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Leigh B Bak | 15 Seaside Ct, Milford, CT 06460-4608 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Jane E Neu | 671 Chaffeeville Rd, Storrs, CT 06268-2337 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Ann Mullins | 885 Enon Ln, Bolivar, TN 38008-3851 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on AMY JACOBSON.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).