Annette Jakubisin-konicki
N.P. | Nurse Practitioner
320 Pomfret St, Putnam
Connecticut, 06260-1836
860-963-6390
Annette Jakubisin-konicki is a Putnam, Connecticut based nurse practitioner. Active license number of Annette Jakubisin-konicki is R38193 in Connecticut. Her current practice location is 320 Pomfret St, Putnam. Patients can reach her at 860-963-6390 or can fax her at 860-963-6343. Annette Jakubisin-konicki is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1154395549.
Annette Jakubisin-konicki has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Annette Jakubisin-konicki speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Annette Jakubisin-konicki |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Practice Address: | 320 Pomfret St, Putnam,
Connecticut, 06260-1836 |
| Phone: | 860-963-6390 |
| Fax: | 860-963-6343 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1154395549 |
| NPI Enumeration Date: | 14 Feb, 2006 |
| NPI Last Update On: | 05 Sep, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Annette Jakubisin-konicki are as mentioned below.
| License Number | Specialization | State | Status | |
| R38193 | | Connecticut | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Annette Jakubisin-konicki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500HBE168CT01 | Other | Connecticut | BLUECROSS BLUESHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Annette Jakubisin-konicki
320 Pomfret St,
Putnam, Connecticut |
| Zip: | 06260-1836 |
| Phone Number: | 860-963-6390 |
| Fax Number: | 860-963-6343 |
Patients can reach Annette Jakubisin-konicki at
320 Pomfret St, Putnam, Connecticut or can
call to book an appointment on 860-963-6390.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.