Vincent, Jaclyn Helen

Vincent, Jaclyn Helen is an individual health care provider with primary practice located at 20 Felicity Ln , Torrington CT 06790-6101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Vincent, Jaclyn Helen can be contacted via phone (860) 496-0206.

Contact Information

Primary practice address
20 Felicity Ln Torrington CT 06790-6101
Phone: (860) 496-0206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5460 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 005460 Connecticut

Profile Details

NPI number 1336575133
LBN Legal business name Vincent, Jaclyn Helen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2013
Last updated Aug 6th, 2015 - about 10 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 1336575133 NPPES
Connecticut MEDICAID 008047268

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