JESSICA NURSICK (NPI# 1063040525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063040525 |
| Entity Type | Individual |
| Full Name | JESSICA NURSICK |
| Practice Address |
26 Sand Hill Rd Portland CT 06480-1737 |
| Practice Telephone | 8606825071 |
| Mailing Telephone | 8606825071 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 SAND HILL RD |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184638 | Alyssa Rose Unikewicz | Specialist/Technologist | 5 Allison Drive, Portland, CT 06480 | 2016-06-07 |
| 1124168224 | Portland Board of Education | Local Education Agency (LEA) | Portland High School, 95 High Street, Portland, CT 06480 | 2007-02-07 |
| 1699700831 | Stephen P Paschall | Counselor | 44 Marlborough Turnpike, Path, Portland, CT 06480 | 2006-07-12 |
| 1346600368 | Thalody Family Dentistry LLC | Dentist | 260 Main St, Portland, CT 06480 | 2016-03-03 |
| 1669782975 | Ann L Sinko | Marriage & Family Therapist | 264 Main St, Portland, CT 06480 | 2010-10-20 |
| 1013023878 | Richard Brian Morse | Dentist | 322 Main St, Portland, CT 06480 | 2006-08-22 |
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1770520652 | Deborah B. Heilman | Physical Therapist | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-06-01 |
| 1184644015 | Applied Physical Therapy & Wellness, LLC | Clinic/Center | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-07-21 |
| 1952964686 | Shane Norman Cardinal | Specialist/Technologist | 521 Glastonbury Tpke, Portland, CT 06480-1003 | 2019-04-18 |
| Find all providers in zip 06480 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| 1700330149 | Lance Martin Stang | Physician Assistant | 606 Ne Broadway St, Portland, OR 97232-1212 | 2016-08-14 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.