JACLYN JERMINE (NPI# 1629528872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528872 |
| Entity Type | Individual |
| Full Name | JACLYN JERMINE |
| Credential | APRN, FNP-BC |
| Practice Address |
20 York Street, Cb-2041 New Haven CT 06510-3220 |
| Practice Telephone | 2036884748 |
| Practice Fax Number | 2036884740 |
| Mailing Telephone | 2036884748 |
| Mailing Fax Number | 2036884740 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6643 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016010756 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 YORK STREET, CB-2041 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090507 | Robin Lee Phillips | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2005-08-12 |
| 1649818634 | Florence Jiyoung Ahn | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-12-20 |
| 1083265300 | Kristina Anello | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-09-27 |
| 1649827676 | Melissa Ann Meyer | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-08-23 |
| 1306409222 | Terance A Anderson | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-04-16 |
| 1861953499 | Daniel Le | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-03-27 |
| 1144787631 | Rebecca Mccurdy | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-21 |
| 1477019651 | Danielle Renee Lockwood | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-13 |
| 1194299180 | Pamela D'amico | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-01-14 |
| 1790250090 | Elise Bishop-rimmer | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121479 | Sarah C Scott | Nurse Practitioner | 175 Sherman Ave Fl 2, New Haven, CT 06511-4358 | 2019-08-27 |
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1922584549 | Kathryn Dzurilla | Nurse Practitioner | 20 York St. Cb-2041, New Haven, CT 06510-3220 | 2018-07-17 |
| 1295146215 | Amanda Kuula-johnson | Nurse Practitioner | 58337 Thomas Dr, New Haven, MI 48048-3326 | 2014-05-13 |
| 1679835086 | Ear Nose & Throat Medical and Surgical Group, LLC | Nurse Practitioner | 46 Prince St Ste 601, New Haven, CT 06519-1634 | 2012-06-12 |
| 1619275567 | Laura Ann Tipping Wilhelm | Nurse Practitioner | 675 Townsend Ave, New Haven, CT 06512-3101 | 2011-03-02 |
| 1154492015 | Ranbir Bains | Nurse Practitioner | 1460 Chapel St, New Haven, CT 06519-1233 | 2006-11-13 |
| 1699729475 | Dorothea Smith | Nurse Practitioner | 2 Church St., New Haven, CT 06519 | 2006-05-19 |
| 1578524641 | Debra Faye Danzinger | Nurse Practitioner | 323 Center St, New Haven, KY 40051-6319 | 2006-03-29 |
| 1821090507 | Robin Lee Phillips | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2005-08-12 |
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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.