JESSICA LEIGH BURSELL (NPI# 1073848495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073848495 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH BURSELL |
| Credential | PA-C |
| Practice Address |
4 Corporate Dr Suite # 484 Shelton CT 06484-6211 |
| Mailing Address |
15 Deerwood Rd Oxford CT 06478-3209 |
| Practice Telephone | 2039449898 |
| Mailing Telephone | 2033056977 |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002316 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4 CORPORATE DR SUITE # 484 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974896 | Nelson Tan Chao | Allergy & Immunology | 4 Corporate Dr, Suite 268, Shelton, CT 06484-6211 | 2005-07-04 |
| 1508477001 | Alyssa Rosso | Physician Assistant | 4 Corporate Dr, Shelton, CT 06484-6211 | 2020-08-10 |
| 1184021396 | Cosmetic and Reconstructive Surgery Associates of Connecticut, PC | Specialist | 4 Corporate Dr, Suite 288, Shelton, CT 06484-6211 | 2014-12-03 |
| 1649606385 | Connecticut Skinhealth LLP | Specialist | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6211 | 2013-09-25 |
| 1942646179 | Margaret Beth Kissel | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2013-05-15 |
| 1942548847 | Dermatology Physicians of Connecticut PC | Specialist | 4 Corporate Dr, Ste 386, Shelton, CT 06484-6211 | 2013-01-28 |
| 1235334913 | Julie Lynn Cantatore-francis | Legal Medicine | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6211 | 2007-06-20 |
| 1730399411 | Domenic W. Casablanca, M.d., P.C. | Clinic/Center | 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 | 2007-05-23 |
| 1275755902 | Allergy & Pulmonary Specialists PC | Allergy & Immunology | 4 Corporate Dr, Suite 268, Shelton, CT 06484-6211 | 2007-05-03 |
| 1598899148 | Women's Health Center, PC | Obstetrics & Gynecology | 4 Corporate Dr, Shelton Suite 484, Shelton, CT 06484-6211 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942530647 | Russell R. Amaru | Physician Assistant | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2010-01-04 |
| 1558529255 | Kathryn Nixon Thompson | Physician Assistant | 4 Corporate Dr., Suite 386, Shelton, CT 06484 | 2008-05-29 |
| 1063634277 | Mark A. Flores | Physician Assistant | 237 Professional Way, Shelton, WA 98584-4404 | 2007-05-03 |
| 1821113119 | Charles Tiffany Barret | Physician Assistant | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-03-19 |
| 1922165513 | Lisa Carol Dell | Physician Assistant | 237 Professional Way, Shelton, WA 98584-4404 | 2007-01-02 |
| 1366421174 | Thomas Russell Prieskorn | Physician Assistant | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2006-01-10 |
| 1639166176 | Kathryn P Hackney | Physician Assistant | 237 Professional Way, Shelton, WA 98584-4404 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA LEIGH BURSELL.
| 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.