| NPI | 1972045375 |
|---|---|
| Former Name | JESSICA JACABACCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6904) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2025-04-14 |