Difabio, Jessica

Difabio, Jessica is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Difabio, Jessica can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 6664 Connecticut

Profile Details

NPI number 1508315730
LBN Legal business name Difabio, Jessica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2016
Last updated Jan 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508315730 NPPES
Connecticut MEDICAID 004217099
Connecticut MEDICAID 008056033
Connecticut MEDICAID 008056168
Connecticut MEDICAID 008039745
Connecticut Other 008068420

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