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JESSICA ROSE DACOSTA APRN AGNP NPI 1245971571


NPI Information

NPI: 1245971571
Provider Name: JESSICA ROSE DACOSTA, APRN, AGNP
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
2 OLD NEW MILFORD RD STE 3D
BROOKFIELD, CT
ZIP 06804
Phone: (203) 885-0910
Get Directions

Jessica Rose Dacosta, APRN, AGNP is a geriatric medicine family medicine in Brookfield, CT. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Jessica Rose Dacosta, APRN, AGNP NPI is 1245971571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 OLD NEW MILFORD RD STE 3D
BROOKFIELD, CT
ZIP 06804-426
Phone: (203) 885-0910

The enumeration date for this NPI number is 4/1/2022 and was last updated on 4/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine10496CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110496OTHERCONNECTICUTCT DEP OF HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.